Active NPI
Idabel Rivera, RPH
- Pharmacist
- Caguas, PR
National Provider Identifier
1124680137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4818
- Practice address
- Del Rio Shopping Center
Valle Tolima
Caguas, PR 00725 - Phone
- (787) 653-8778
- Fax
- (787) 653-8789
- NPI assigned
- Jul 1, 2019
- 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 | 4818 | PR | Primary |
Addresses
Primary practice location
Del Rio Shopping Center
Valle Tolima
Caguas, PR 00725
Mailing address
El Valle
277 Paseo de la Palma Real
Caguas, PR 00727-3208
Phone (787) 632-8462
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4818 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561939200000",
"number": "1124680137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "EL VALLE",
"address_2": "277 PASEO DE LA PALMA REAL",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007273208",
"telephone_number": "787-632-8462",
"fax_number": "787-653-0939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DEL RIO SHOPPING CENTER",
"address_2": "VALLE TOLIMA",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-653-8778",
"fax_number": "787-653-8789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "IDABEL",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-01",
"last_updated": "2019-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "PR",
"license": "4818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.