Provider Demographics
NPI:1235923756
Name:RODRIGUEZ, ANDRES (PHARMD)
Entity type:Individual
Prefix:
First Name:ANDRES
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1922 AVE. RAMIREZ DE ARELLANO ESQ. MADRID
Mailing Address - Street 2:TORRIMAR SHOPPING CENTER (LOCAL #1)
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1922 AVE. RAMIREZ DE ARELLANO ESQ. MADRID
Practice Address - Street 2:TORRIMAR SHOPPING CENTER (LOCAL #1)
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966
Practice Address - Country:US
Practice Address - Phone:787-946-0057
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6834183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist