Individual provider Active NPI

Hector Omar Rivera, PHARM D.

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • San Juan, PR
National Provider Identifier
1629638473
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
6174 Issued in PR
Practice address
839 Calle Anasco Apt 822
San Juan, PR 00925-2456
NPI assigned
Jun 14, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6174 PR
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 6174 PR Primary

Addresses

Primary practice location

839 Calle Anasco Apt 822
San Juan, PR 00925-2456

Mailing address

839 Calle Anasco Apt 822
San Juan, PR 00925-2456
Phone (787) 315-3292

Other practice location 1

839 Calle Anasco Apt 822
San Juan, PR 00925-2456
Phone (787) 315-3292

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
6174PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1629638473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 CALLE ANASCO APT 822",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009252456",
            "telephone_number": "787-315-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 CALLE ANASCO APT 822",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009252456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "839 Calle Anasco Apt 822",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009252456",
            "country_code": "US",
            "telephone_number": "787-315-3292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "HECTOR",
        "middle_name": "OMAR",
        "credential": "PHARM D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-14",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "6174",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "PR",
            "license": "6174",
            "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 Jan 3, 2020; 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.