NPIMap

Organization Active NPI

Victor a. Rivera, Inc.

  • Community/Retail Pharmacy
  • Naranjito, PR
National Provider Identifier
1881787356
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
07-F-0140 Issued in PR
Legal business name
VICTOR A. RIVERA, INC.
Practice address
109 Calle Georgetti
Naranjito, PR 00719
Phone
(787) 869-2460
Fax
(787) 869-0756
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Carlos A Rivera
Title
President
Phone
(787) 869-2460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 07-F-0140 PR Primary

Addresses

Primary practice location

109 Calle Georgetti
Naranjito, PR 00719

Mailing address

PO Box 923
Naranjito, PR 00719-0923
Phone (787) 869-2460

Other identifiers 1

IdentifierTypeStateIssuer
4004773OtherPRNCPDP NUMBER

Other names 1

  • Farmacia San Miguel Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210225002203 PR Part B Supplier - Pharmacy 3274654231 Practice locations: Naranjito, PR

National Provider Directory

National Provider Directory

Locations

109 Calle Georgetti
Naranjito, PR 00719
Phone (787) 869-2460

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881787356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 923",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007190923",
            "telephone_number": "787-869-2460",
            "fax_number": "787-869-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CALLE GEORGETTI",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "00719",
            "telephone_number": "787-869-2460",
            "fax_number": "787-869-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR A. RIVERA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-869-2460",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "07-F-0140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "4004773",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farmacia San Miguel",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naranjito, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.