Active NPI
Jackeline Corazon Rivera
- Pharmacist
- Toa Alta, PR
National Provider Identifier
1306727680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5171
- Practice address
- Primavera 87 Las Cascadas 2
Toa Alta, PR 00953 - Phone
- (787) 371-2792
- NPI assigned
- Sep 11, 2025
- 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 | 5171 | PR | Primary |
Addresses
Primary practice location
Primavera 87 Las Cascadas 2
Toa Alta, PR 00953
Mailing address
87 Calle Primavera
Toa Alta, PR 00953-3223
Phone (787) 371-2792
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 |
|---|---|---|---|
| 5171 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1306727680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 CALLE PRIMAVERA",
"city": "TOA ALTA",
"state": "PR",
"postal_code": "009533223",
"telephone_number": "787-371-2792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PRIMAVERA 87 LAS CASCADAS 2",
"city": "TOA ALTA",
"state": "PR",
"postal_code": "00953",
"telephone_number": "787-371-2792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORAZON RIVERA",
"first_name": "JACKELINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-11",
"last_updated": "2025-09-11",
"certification_date": "2025-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "5171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toa Alta, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.