Provider Demographics
NPI:1285987743
Name:ROSARIO, ROLANDO (PHARM D)
Entity type:Individual
Prefix:
First Name:ROLANDO
Middle Name:
Last Name:ROSARIO
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1430 AVE SAN ALFONSO
Mailing Address - Street 2:APTO 1406
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921-4628
Mailing Address - Country:US
Mailing Address - Phone:787-637-9669
Mailing Address - Fax:
Practice Address - Street 1:1430 AVE SAN ALFONSO
Practice Address - Street 2:APTO 1406
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-4628
Practice Address - Country:US
Practice Address - Phone:787-637-9669
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-22
Last Update Date:2012-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4906183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist