Ana Loida Rodriguez, RPH
Individual provider Active NPI Pharmacist · Bayamon, PR
NPI 1710109103 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1710109103
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2285 (PR)
- Practice address
- Carr 167 KM 9.5
Ba. Dajaos
Bayamon, PR 00956 - Phone
- (787) 730-3508
- Fax
- (787) 730-7949
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2285 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Farmacia Idelisse,Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2285 | PR | Yes |
Addresses
Primary practice location
Carr 167 KM 9.5
Ba. Dajaos
Bayamon, PR 00956
Mailing address
PO Box 4316
Bayamon, PR 00958-1316
Phone (787) 219-7780
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.