Basic Information
| Provider Information | |||||||||
| NPI: | 1770653669 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MENENDEZ | ||||||||
| FirstName: | ROSARIO | ||||||||
| MiddleName: | |||||||||
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| Credential: | R.P.H. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 441 CALLE CORCEGA | ||||||||
| Address2: | PUERTO NUEVO | ||||||||
| City: | SAN JUAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 009203815 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877834615 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | UDH P.R. MEDICAL CENTER | ||||||||
| Address2: | DEPTO DE FARMACIA, BARRIO MONACILLOS | ||||||||
| City: | SAN JUAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 009222116 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877540101 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/08/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | 3273 | PR | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.