Provider Demographics
NPI:1528880887
Name:ROSARIO RODRIGUEZ, YARELIS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:YARELIS
Middle Name:
Last Name:ROSARIO RODRIGUEZ
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9400 AVE LOS ROMEROS
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-7072
Mailing Address - Country:US
Mailing Address - Phone:787-294-0494
Mailing Address - Fax:
Practice Address - Street 1:9400 AVE LOS ROMEROS
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-7072
Practice Address - Country:US
Practice Address - Phone:787-294-0494
Practice Address - Fax:787-294-0495
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8317183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist