Individual provider Active NPI

Nelly L Rivera, PH

  • Pharmacist
  • Carolina, PR
National Provider Identifier
1891052304
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2377 Issued in PR
Practice address
Carr. #3, Ave. 65 de Infanteria, Intersec Carr. #887
Bo. San Anton
Carolina, PR 00986-0858
Phone
(787) 757-6850
NPI assigned
Apr 20, 2012
Last updated
Apr 20, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2377 PR Primary

Addresses

Primary practice location

Carr. #3, Ave. 65 de Infanteria, Intersec Carr. #887
Bo. San Anton
Carolina, PR 00986-0858

Mailing address

J8 Calle 3
Valparaiso
Toa Baja, PR 00949-4040
Phone (787) 784-8745

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

LicenseStateTypeSpecialty
2377PRMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334880000000",
    "number": "1891052304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "J8 CALLE 3",
            "address_2": "VALPARAISO",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009494040",
            "telephone_number": "787-784-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. #3, AVE. 65 DE INFANTERIA, INTERSEC CARR. #887",
            "address_2": "BO. SAN ANTON",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009860858",
            "telephone_number": "787-757-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "NELLY",
        "middle_name": "L",
        "credential": "PH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-20",
        "last_updated": "2012-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "2377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; 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.