Farmacia El Divino Nino LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

17-F-2289 Issued in PR

Legal business name

FARMACIA EL DIVINO NINO LLC

Practice address

Carr 110 KM 10.5
835 Concepcion Vera
Moca, PR 00676

Phone

(787) 818-4839

Fax

(787) 877-8129

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Xochitl Rivera, RPHNPI 1710042239

Title

Pharmacist/Owner

Phone

(787) 818-4839

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Farmacia El Divino Nino LLC Former legal business name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Xochitl P Rivera, RPH

  • Pharmacist
  • Moca, PR
  • NPI 1710042239
  NPD (past) Authorized official
• Ivelisse Roman

  • Pharmacy Technician
  • Moca, PR
  • NPI 1710044722
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751155200000",
    "number": "1720185655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 CALLE CONCEPCION VERA",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006765016",
            "telephone_number": "787-818-4839",
            "fax_number": "787-877-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 110 KM 10.5",
            "address_2": "835 CONCEPCION VERA",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "00676",
            "telephone_number": "787-818-4839",
            "fax_number": "787-877-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA EL DIVINO NINO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-06-29",
        "certification_date": "2025-06-29",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "XOCHITL",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "787-818-4839",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "17-F-2289",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2087087",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farmacia El Divino Nino LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Community/Retail Pharmacy in Moca, PR
• Providers in Moca, PR by specialty
• Community/Retail Pharmacy in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.