Provider Demographics
NPI:1588468417
Name:RODRIGUEZ MERCADO, ANDREA (PHARMD)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:RODRIGUEZ MERCADO
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:
Other - Last Name:RODRIGUEZ MERCADO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DRA RODRIGUEZ
Mailing Address - Street 1:198 AVE ESMERALDA
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-4448
Mailing Address - Country:US
Mailing Address - Phone:787-720-5555
Mailing Address - Fax:
Practice Address - Street 1:198 AVE ESMERALDA
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-4448
Practice Address - Country:US
Practice Address - Phone:787-720-5555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8387183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist