Active NPI
Lillian Ivette Perez Rivera, RPH
- Pharmacist
- Mayaguez, PR
National Provider Identifier
1427550086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 004065
- Practice address
- Hospital Bella Vista
Carr 349 KM 2.7 Cerro Las Mesas
Mayaguez, PR 00681 - Phone
- (939) 545-6698
- NPI assigned
- Feb 28, 2018
- Sex
- Female
- 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 | 004065 | PR | Primary |
Addresses
Primary practice location
Hospital Bella Vista
Carr 349 KM 2.7 Cerro Las Mesas
Mayaguez, PR 00681
Mailing address
45 Urbanizacion Parque la Arboleda
Bo Camaseyes
Aguadilla, PR 00603
Phone (787) 319-3734
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1948412 | Other | PR | PR DRIVERS LICENSE |
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 |
|---|---|---|---|
| 004065 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519776000000",
"number": "1427550086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 URBANIZACION PARQUE LA ARBOLEDA",
"address_2": "BO CAMASEYES",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "00603",
"telephone_number": "787-319-3734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HOSPITAL BELLA VISTA",
"address_2": "CARR 349 KM 2.7 CERRO LAS MESAS",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "00681",
"telephone_number": "939-545-6698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ RIVERA",
"first_name": "LILLIAN",
"middle_name": "IVETTE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-28",
"last_updated": "2018-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "004065",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PR DRIVERS LICENSE",
"identifier": "1948412",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mayaguez, PR
- Jose Carlos Perez Lopez, M.D.
- Yadira Perez Mangual
- Ivelisse Perez Matias, LMSW
- Stephanie Marie Perez Olan
- Lydia Vanessa Perez Perez
- Ruth Delly Perez Rivera, PHARMACY TECHNICIAN
- Adrian Jose Perez Rodriguez, DC
- Jannette Perez Santiago, CRNA
- Karlo Ruben Perez Santiago, MD
- Sabdi Jesse Perez Torres, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.