Provider Demographics
NPI:1730166547
Name:RODRIGUEZ-FERRA, YANITZA I (PHT)
Entity type:Individual
Prefix:MRS
First Name:YANITZA
Middle Name:I
Last Name:RODRIGUEZ-FERRA
Suffix:
Gender:F
Credentials:PHT
Other - Prefix:
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Mailing Address - Street 1:3307 CALLE CARMEN PACHECO
Mailing Address - Street 2:NUEVA VIDA
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00728-4951
Mailing Address - Country:US
Mailing Address - Phone:787-284-3769
Mailing Address - Fax:787-841-5551
Practice Address - Street 1:553 CALLE RAMOS ANTONINI
Practice Address - Street 2:EL TUQUE
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00728-4806
Practice Address - Country:US
Practice Address - Phone:787-844-2805
Practice Address - Fax:787-841-5551
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR3559183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR3559OtherPHARMACY TECHNICIAN