Individual provider Active NPI

Yolanda Rivera, LIC

  • Pharmacist
  • San Juan, PR
National Provider Identifier
1013003433
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3937 Issued in PR
Practice address
851 Calle Lafayette
Pda 20 Esq San Rafael
San Juan, PR 00909-2627
Phone
(787) 724-3307
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3937 PR Primary

Addresses

Primary practice location

851 Calle Lafayette
Pda 20 Esq San Rafael
San Juan, PR 00909-2627

Mailing address

963 Calle Puerto Principe
Urb Las Americas
San Juan, PR 00921-1919
Phone (787) 764-2523

Other identifiers 1

IdentifierTypeStateIssuer
#3937OtherPRLICENSE PHARMACIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3937PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Farmacia San Rafael Santurce, Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013003433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 CALLE PUERTO PRINCIPE",
            "address_2": "URB LAS AMERICAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009211919",
            "telephone_number": "787-764-2523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 CALLE LAFAYETTE",
            "address_2": "PDA 20 ESQ SAN RAFAEL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092627",
            "telephone_number": "787-724-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "YOLANDA",
        "credential": "LIC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "3937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE PHARMACIST",
            "identifier": "#3937",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.