Active NPI
Yolanda Rivera, LIC
- Pharmacist
- San Juan, PR
National Provider Identifier
1013003433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3937
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| #3937 | Other | PR | LICENSE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3937 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Community/Retail Pharmacy
- San Juan, PR
- NPI 1952446825
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.