Provider Demographics
NPI:1194981134
Name:ROSARIO, ADALIZA (PHARMACY TECHNICIAN)
Entity type:Individual
Prefix:MRS
First Name:ADALIZA
Middle Name:
Last Name:ROSARIO
Suffix:
Gender:F
Credentials:PHARMACY TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR 1 BOX 11487
Mailing Address - Street 2:
Mailing Address - City:OROCOVIS
Mailing Address - State:PR
Mailing Address - Zip Code:00720-9331
Mailing Address - Country:US
Mailing Address - Phone:939-644-5462
Mailing Address - Fax:
Practice Address - Street 1:6 CALLE PEDRO ARROYO
Practice Address - Street 2:
Practice Address - City:OROCOVIS
Practice Address - State:PR
Practice Address - Zip Code:00720-4422
Practice Address - Country:US
Practice Address - Phone:787-867-2820
Practice Address - Fax:787-867-2820
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-30
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7199183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician