Active NPI
Lizzy A Cortes-Rivera
- Pharmacist
- Vega Baja, PR
National Provider Identifier
1245975747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 002918
- Practice address
- Calle a Esquina Calle C Bloque a-5
Urb. Alturas
Vega Baja, PR 00693 - Phone
- (787) 855-3713
- Fax
- (939) 697-6116
- NPI assigned
- Apr 29, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 002918 | PR | Primary |
Addresses
Primary practice location
Calle a Esquina Calle C Bloque a-5
Urb. Alturas
Vega Baja, PR 00693
Mailing address
PO Box 295
Vega Baja, PR 00694-0295
Phone (787) 362-2895
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 |
|---|---|---|---|
| 002918 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuestra Farmacia Y Colmado Alturas 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
- Vega Baja, PR
- NPI 1548397011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651190400000",
"number": "1245975747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 295",
"city": "VEGA BAJA",
"state": "PR",
"postal_code": "006940295",
"telephone_number": "787-362-2895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE A ESQUINA CALLE C BLOQUE A-5",
"address_2": "URB. ALTURAS",
"city": "VEGA BAJA",
"state": "PR",
"postal_code": "00693",
"telephone_number": "787-855-3713",
"fax_number": "939-697-6116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORTES-RIVERA",
"first_name": "LIZZY",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-29",
"last_updated": "2022-04-29",
"certification_date": "2022-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "002918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vega Baja, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.