Provider Demographics
NPI:1144468190
Name:ROSARIO, FLOR RUBY (RPH)
Entity type:Individual
Prefix:MRS
First Name:FLOR
Middle Name:RUBY
Last Name:ROSARIO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:STREET 2 #13 SAN VICENTE
Mailing Address - Street 2:
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693-3430
Mailing Address - Country:US
Mailing Address - Phone:787-608-4671
Mailing Address - Fax:
Practice Address - Street 1:STREET 2 #13 SAN VICENTE
Practice Address - Street 2:
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693-3430
Practice Address - Country:US
Practice Address - Phone:787-608-4671
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-29
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2259183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1404399OtherPROFESIONAL SERVICES