Awilda Rivera
Individual provider Active NPI Pharmacist · Vega Baja, PR
NPI 1801929260 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1801929260
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 3151 (PR)
- Practice address
- 457 Ave Felisa Rincon de Gautier
Urb. San Demetrio
Vega Baja, PR 00693-3375 - Phone
- (787) 858-0052
- Fax
- (787) 858-5547
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3151 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Farmacia Glamar | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 3151 | PR | Yes |
Addresses
Primary practice location
457 Ave Felisa Rincon de Gautier
Urb. San Demetrio
Vega Baja, PR 00693-3375
Mailing address
Mansion del Sol #119
Girasoles B-8
Sabana Seca, PR 00952-4053
Phone (787) 858-0052
Other providers in Vega Baja, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.