Coraliz Judith Rivera Crespo

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

013427 Issued in PR

Practice address

269 Calle Mendez Vigo
Dorado, PR 00646-4904

Phone

(787) 796-1155

Fax

(787) 796-8747

NPI assigned

Jun 2, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• MC Drug LLC

  dba Super Farmacia Dorado

  • Community/Retail Pharmacy
  • Dorado, PR
  • NPI 1164575122
  NPD

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1841866530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2094",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006922094",
            "telephone_number": "787-910-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 CALLE MENDEZ VIGO",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464904",
            "telephone_number": "787-796-1155",
            "fax_number": "787-796-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA CRESPO",
        "first_name": "CORALIZ",
        "middle_name": "JUDITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "PR",
            "license": "013427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA",
            "identifier": "013427",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "farmacia_dorado@yahoo.com",
            "affiliation": "N",
            "address_1": "269 Calle Mendez Vigo",
            "city": "Dorado",
            "state": "PR",
            "country_code": "US",
            "postal_code": "006464904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ruth Esther Rios Lopez, LND, MHSN
• Elfren F. Rios Santiago, M.D.
• Estela Rivas-Nina, MSW
• Kiara Rivas
• Mirelys Rivera Colon, PSYD
• Gabriela M Rivera Lopez, MS SLP CLE
• Karla Rivera Morales
• Marcos Enrique Rivera Santos
• Zaritza Marie Rivera Vazquez, PSYD
• Glorianne Marie Rivera-Casanova

• Pharmacy Technician in Dorado, PR
• Providers in Dorado, PR by specialty
• Pharmacy Technician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.