Individual provider Active NPI

Sherly Ann Rivera-Burgos

  • Pharmacy Technician
  • Yabucoa, PR
National Provider Identifier
1598802084
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
4774 Issued in PR
Practice address
37 Calle Cristobal Colon
Yabucoa, PR 00767-3324
Phone
(787) 893-2440
Fax
(787) 893-2440
NPI assigned
Jan 31, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 4774 PR Primary

Addresses

Primary practice location

37 Calle Cristobal Colon
Yabucoa, PR 00767-3324

Mailing address

HC 4 Box 6898
Yabucoa, PR 00767-9510
Phone (787) 475-5638

Other identifiers 1

IdentifierTypeStateIssuer
4774OtherPRPHARMACY TECH LIC PR

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

LicenseStateTypeSpecialty
4774PRMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Celiana Inc Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598802084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 4 BOX 6898",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "007679510",
            "telephone_number": "787-475-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 CALLE CRISTOBAL COLON",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "007673324",
            "telephone_number": "787-893-2440",
            "fax_number": "787-893-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA-BURGOS",
        "first_name": "SHERLY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "PR",
            "license": "4774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY TECH LIC PR",
            "identifier": "4774",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yabucoa, 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.

Verify at the official NPI Registry.