Active NPI
Carlos Antonio Rivera, 4574109
- Pharmacy Technician
- Ponce, PR
National Provider Identifier
1336356559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 14932
- Practice address
- Urb Nuevo Mameyes
Calle 3 D23
Ponce, PR 00731 - Phone
- (787) 284-1648
- NPI assigned
- May 17, 2007
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 14932 | PR | Primary |
Addresses
Primary practice location
Urb Nuevo Mameyes
Calle 3 D23
Ponce, PR 00731
Mailing address
Urb Nuevo Mameyes
Calle 3 D23
Ponce, PR 00731
Phone (787) 284-1648
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 |
|---|---|---|---|
| 14932 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336356559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB NUEVO MAMEYES",
"address_2": "CALLE 3 D23",
"city": "PONCE",
"state": "PR",
"postal_code": "00731",
"telephone_number": "787-284-1648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB NUEVO MAMEYES",
"address_2": "CALLE 3 D23",
"city": "PONCE",
"state": "PR",
"postal_code": "00731",
"telephone_number": "787-284-1648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "CARLOS",
"middle_name": "ANTONIO",
"credential": "4574109",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PR",
"license": "14932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.