Provider Demographics
NPI:1598970857
Name:QUILES-VALLES, ROSA MARIA (RPH)
Entity type:Individual
Prefix:
First Name:ROSA
Middle Name:MARIA
Last Name:QUILES-VALLES
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SALTILLO 1697 VENUS GARDENS
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-761-2740
Mailing Address - Fax:
Practice Address - Street 1:BARRIO MONACILLOS , CENTRO MEDICO DE PUERTO RICO
Practice Address - Street 2:HOSPITAL SAN JUAN
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-250-8449
Practice Address - Fax:787-250-8449
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2427183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist