Maylein C Juan Rivera, PHARMD
Individual provider Active NPI Pharmacist · Toa Baja, PR
NPI 1194504258 · NPPES record last updated May 23, 2024
Key facts
- NPI
- 1194504258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 8146 (PR)
- Practice address
- Carr. 863 KM 0.6 Bo. Pajaros Bo. Candelaria
Toa Baja, PR 00949 - Phone
- (787) 620-9611
- NPI assigned
- Sep 27, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS66424 | FL | MD | Pharmacist |
| 8146 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS L.L.C. | Past |
Accepting new patients | |
| Holiday CVS LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS66424 | FL | |
| Pharmacist | 183500000X | 8146 | PR | Yes |
Addresses
Primary practice location
Carr. 863 KM 0.6 Bo. Pajaros Bo. Candelaria
Toa Baja, PR 00949
Mailing address
Carr. 863 KM 0.6 Bo. Pajaros Bo. Candelaria
Toa Baha, PR 00949
Phone (787) 620-9611
Other providers in Toa Baja, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.