Active NPI
Ivan Rivera Serrano, PHARMACIST
- Pharmacist
- Cidra, PR
National Provider Identifier
1194497347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5283
- Practice address
- Carr 1 KM 56.5 Marginal, Bo Montellanos
Cidra, PR 00737 - Phone
- (787) 738-1444
- NPI assigned
- Oct 5, 2021
- Sex
- Male
- 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 | 5283 | PR | Primary |
Addresses
Primary practice location
Carr 1 KM 56.5 Marginal, Bo Montellanos
Cidra, PR 00737
Mailing address
Bo . Monticello
Carr 1 KM 56.5 Interior
Cidra, PR 00739
Phone (787) 738-1444
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 |
|---|---|---|---|
| 5283 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Farmacia Vazquez LLC | Pharmacist | Current | Accepting new patients |
| Ivamik LLC | Current | Accepting new patients |
Organizations & group practices 2
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
- Cayey, PR
- NPI 1760916472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633392000000",
"number": "1194497347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BO . MONTICELLO",
"address_2": "CARR 1 KM 56.5 INTERIOR",
"city": "CIDRA",
"state": "PR",
"postal_code": "00739",
"telephone_number": "787-738-1444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 1 KM 56.5 MARGINAL, BO MONTELLANOS",
"city": "CIDRA",
"state": "PR",
"postal_code": "00737",
"telephone_number": "787-738-1444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA SERRANO",
"first_name": "IVAN",
"name_prefix": "Mr.",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-05",
"last_updated": "2021-10-05",
"certification_date": "2021-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "5283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cidra, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.