Active NPI
Pedro Rivera, RPH
- Pharmacist
- San Juan, PR
National Provider Identifier
1396284543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4174
- Practice address
- Centro Comercial Litheda
Carr. 845 Cupey Bajo
San Juan, PR 00920 - Phone
- (787) 376-9757
- NPI assigned
- Feb 21, 2017
- Last updated
- Nov 21, 2019
- 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 | 4174 | PR | Primary |
Addresses
Primary practice location
Centro Comercial Litheda
Carr. 845 Cupey Bajo
San Juan, PR 00920
Mailing address
553 Sunlight Urb. Summit Hills
San Juan, PUERTO RICO 00920
UM
Phone (787) 969-1586
Other practice location 1
Carr 181 Km 0.1
Bo Dos Bocas
Trujillo Alto, PR 00977
Phone (787) 292-7993
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4174 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574294400000",
"number": "1396284543",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "553 SUNLIGHT URB. SUMMIT HILLS",
"city": "SAN JUAN",
"state": "PUERTO RICO",
"postal_code": "00920",
"telephone_number": "787-969-1586",
"fax_number": "787-755-5983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CENTRO COMERCIAL LITHEDA",
"address_2": "CARR. 845 CUPEY BAJO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00920",
"telephone_number": "787-376-9757"
}
],
"practiceLocations": [
{
"address_1": "Carr 181 Km 0.1",
"address_2": "Bo Dos Bocas",
"address_purpose": "LOCATION",
"city": "Trujillo Alto",
"state": "PR",
"postal_code": "00977",
"country_code": "US",
"telephone_number": "787-292-7993",
"fax_number": "787-755-5983",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIVERA",
"first_name": "PEDRO",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-21",
"last_updated": "2019-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "4174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.