Provider Demographics
NPI:1487931838
Name:NAPOLES, ROSA NIDIA (PHARMD)
Entity type:Individual
Prefix:
First Name:ROSA
Middle Name:NIDIA
Last Name:NAPOLES
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 1:400 HIALEAH DR
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-5347
Mailing Address - Country:US
Mailing Address - Phone:786-521-1082
Mailing Address - Fax:
Practice Address - Street 1:4895 PALM AVE
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-4006
Practice Address - Country:US
Practice Address - Phone:305-231-7454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-14
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS46901183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist