Provider Demographics
NPI:1538915301
Name:RODFER LLC
Entity type:Organization
Organization Name:RODFER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHAVELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:VELLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-755-2060
Mailing Address - Street 1:100 AVE HERNAN CORTES STE 5
Mailing Address - Street 2:
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976-6463
Mailing Address - Country:US
Mailing Address - Phone:787-755-2060
Mailing Address - Fax:
Practice Address - Street 1:100 AVE HERNAN CORTES STE 5
Practice Address - Street 2:
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976-6463
Practice Address - Country:US
Practice Address - Phone:787-755-2060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-24
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy