Provider Demographics
NPI:1538591110
Name:RODRIGUEZ-ALVAREZ, LYANN LYNNETTE (PHARMD)
Entity type:Individual
Prefix:MISS
First Name:LYANN
Middle Name:LYNNETTE
Last Name:RODRIGUEZ-ALVAREZ
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 1:1357 CALLE ALDEA APT. 1
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907
Mailing Address - Country:US
Mailing Address - Phone:787-512-9769
Mailing Address - Fax:
Practice Address - Street 1:AVE. PARANA RIO PIEDRAS HEIGHTS
Practice Address - Street 2:FARMACIA REYES 2
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-764-2899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-06
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5335183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist