Active NPI
Edna Beatriz Rivera
- Pharmacist
- Fajardo, PR
National Provider Identifier
1871718403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1639
- Practice address
- Calle Union #1 Esq.
Urb. Santa Isidra
Fajardo, PR 00738 - Phone
- (787) 863-2070
- Fax
- (787) 860-0259
- NPI assigned
- Apr 17, 2007
- 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 | 1639 | PR | Primary |
Addresses
Primary practice location
Calle Union #1 Esq.
Urb. Santa Isidra
Fajardo, PR 00738
Mailing address
PO Box 1032
Fajardo, PR 00738-1032
Phone (787) 863-0063
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 |
|---|---|---|---|
| 1639 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gonzalez Negrin Corp | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871718403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1032",
"city": "FAJARDO",
"state": "PR",
"postal_code": "007381032",
"telephone_number": "787-863-0063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE UNION #1 ESQ.",
"address_2": "URB. SANTA ISIDRA",
"city": "FAJARDO",
"state": "PR",
"postal_code": "00738",
"telephone_number": "787-863-2070",
"fax_number": "787-860-0259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "EDNA",
"middle_name": "BEATRIZ",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "1639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fajardo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.