Individual provider Active NPI

Pablo Juan Rivera I

  • Pharmacist
  • Humacao, PR
National Provider Identifier
1326667759
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
4244 Issued in PR
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

Updated by the provider on Apr 15, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
4244PRMDSpeech-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.

Verify at the official NPI Registry.