Active NPI
Carmen Ana Rivera, LCDA
- Pharmacist
- Aibonito, PR
National Provider Identifier
1699167148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 004837
- Practice address
- Carr 722 KM 7.3
Bo Robles Rabanal
Aibonito, PR 00705 - Phone
- (787) 735-5200
- Fax
- (787) 735-3359
- NPI assigned
- Feb 20, 2015
- 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 | 004837 | PR | Primary |
Addresses
Primary practice location
Carr 722 KM 7.3
Bo Robles Rabanal
Aibonito, PR 00705
Mailing address
HC 4 Box 2135
Barranquitas, PR 00794
Phone (787) 910-8668
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
| License | State | Type | Specialty |
|---|---|---|---|
| 004837 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424390400000",
"number": "1699167148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 4 BOX 2135",
"city": "BARRANQUITAS",
"state": "PR",
"postal_code": "00794",
"telephone_number": "787-910-8668",
"fax_number": "787-735-3359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 722 KM 7.3",
"address_2": "BO ROBLES RABANAL",
"city": "AIBONITO",
"state": "PR",
"postal_code": "00705",
"telephone_number": "787-735-5200",
"fax_number": "787-735-3359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "CARMEN",
"middle_name": "ANA",
"name_prefix": "Mrs.",
"credential": "LCDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-20",
"last_updated": "2015-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "004837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aibonito, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.