Active NPI
Patricia I Medina-Rivera, PHARM. D
- Pharmacist
- San Juan, PR
National Provider Identifier
1679073472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS55520
- Practice address
- 997 Calle San Roberto
Professional Office Park
San Juan, PR 00926 - Phone
- (787) 773-6554
- NPI assigned
- Feb 19, 2018
- Sex
- Female
- Sole proprietor
- No
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 | PS55520 | FL | Primary |
Addresses
Primary practice location
997 Calle San Roberto
Professional Office Park
San Juan, PR 00926
Mailing address
258 Calle 17
Urbanizacion la Arboleda
Salinas, PR 00751
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS55520 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518998400000",
"number": "1679073472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "258 CALLE 17",
"address_2": "URBANIZACION LA ARBOLEDA",
"city": "SALINAS",
"state": "PR",
"postal_code": "00751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "997 CALLE SAN ROBERTO",
"address_2": "PROFESSIONAL OFFICE PARK",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-773-6554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA-RIVERA",
"first_name": "PATRICIA",
"middle_name": "I",
"name_prefix": "Miss",
"credential": "PHARM. D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-19",
"last_updated": "2018-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS55520",
"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 Feb 19, 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.