Active NPI
Pablo Juan Rivera I
- Pharmacist
- Humacao, PR
National Provider Identifier
1326667759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4244
- Practice address
- Farmacias Marisel
Esq. Antonio Lopez
Humacao, PR 00971 - Phone
- (787) 850-9246
- NPI assigned
- Apr 15, 2020
- 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 | 4244 | PR | Primary |
Addresses
Primary practice location
Farmacias Marisel
Esq. Antonio Lopez
Humacao, PR 00971
Mailing address
Urb Sunrise
104 Morning Dew G-12
Humacao, PR 00791
Phone (787) 218-4656
Other practice location 1
Urb Sunrise
104 Morning Dew G-12
Humacao, PR 00791
Phone (787) 218-4656
Other names 1
- Pablo J Rivera
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | rxmarisel@yahoo.com | Direct | |
| Other URL | rxmarisel2@yahoo.com | Direct |
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 |
|---|---|---|---|
| 4244 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586908800000",
"number": "1326667759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB SUNRISE",
"address_2": "104 MORNING DEW G-12",
"city": "HUMACAO",
"state": "PR",
"postal_code": "00791",
"telephone_number": "787-218-4656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FARMACIAS MARISEL",
"address_2": "ESQ. ANTONIO LOPEZ",
"city": "HUMACAO",
"state": "PR",
"postal_code": "00971",
"telephone_number": "787-850-9246"
}
],
"practiceLocations": [
{
"address_1": "Urb Sunrise",
"address_2": "104 Morning Dew G-12",
"address_purpose": "LOCATION",
"city": "Humacao",
"state": "PR",
"postal_code": "00791",
"country_code": "US",
"telephone_number": "787-218-4656",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIVERA",
"first_name": "PABLO",
"middle_name": "JUAN",
"name_suffix": "I",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-15",
"last_updated": "2020-04-15",
"certification_date": "2020-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "4244",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "rxmarisel@yahoo.com",
"affiliation": "N",
"endpointDescription": "Pharmacy",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "Farmacias Marisel",
"address_2": "Esq. Antonio Lopez",
"city": "Humacao",
"state": "PR",
"country_code": "US",
"postal_code": "00971",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "rxmarisel2@yahoo.com",
"affiliation": "N",
"endpointDescription": "pharmacy",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "Farmacias Marisel",
"address_2": "Esq. Antonio Lopez",
"city": "Humacao",
"state": "PR",
"country_code": "US",
"postal_code": "00971",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "PABLO",
"last_name": "RIVERA",
"middle_name": "J",
"credential": "RPH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Humacao, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.