Nelson G Rivera

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

11903 Issued in PR

Practice address

Walmart Pharmacy 3716 State Road #2 KM 45.6
Plaza Monte Real
Manati, PR 00674

Phone

(787) 621-0487

Fax

(787) 621-0490

NPI assigned

May 20, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1396584579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB DEL CARMEN F95 CALLE 6",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "00627",
            "telephone_number": "939-402-6474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WALMART PHARMACY 3716 STATE ROAD #2 KM 45.6",
            "address_2": "PLAZA MONTE REAL",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-621-0487",
            "fax_number": "787-621-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "NELSON",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "PR",
            "license": "11903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chendy Lemuel Rivera II, DPT
• Denice Rivera, MSW
• Edgardo Rivera, DMD
• Elizabeth Rivera, SLP
• Mayrim Lee Rivera, TF
• Nicole Marie Rivera
• Olga Rivera
• Santia Ivette Rivera
• Sara Rivera, MD
• Tabatha Y Rivera

• Pharmacy Technician in Manati, PR
• Providers in Manati, PR by specialty
• Pharmacy Technician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.