Individual provider Active NPI

Crystal Eden Rivera, PHARM D.

  • Pharmacist
  • Cabo Rojo, PR
National Provider Identifier
1548686017
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5527 Issued in PR
Practice address
Carretera 308 KM 5.1 Barrio Miradero
Cabo Rojo, PR 00623-4860
Phone
(787) 719-7828
Fax
(787) 709-4786
NPI assigned
Mar 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS43025 FL
Pharmacist 183500000X 5527 PR Primary

Addresses

Primary practice location

Carretera 308 KM 5.1 Barrio Miradero
Cabo Rojo, PR 00623-4860

Mailing address

PO Box 506
Cabo Rojo, PR 00623-0506
Phone (787) 719-7828

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS43025FLMDPharmacist
5527PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Farmacia Amiga En Puerto Real LLC CurrentSince Sep 14, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1394236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1548686017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 506",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006230506",
            "telephone_number": "787-719-7828",
            "fax_number": "787-709-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 308 KM 5.1 BARRIO MIRADERO",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006234860",
            "telephone_number": "787-719-7828",
            "fax_number": "787-709-4786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "CRYSTAL",
        "middle_name": "EDEN",
        "name_prefix": "Dr.",
        "credential": "PHARM D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-08",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS43025",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "5527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabo Rojo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.