Active NPI
Nelson Omar Rivera Otero Sr.
- Pharmacist
- San Juan, PR
National Provider Identifier
1891633376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8660
- Practice address
- Farmacia Rey #10 Calle Arzuaga #100
Esquina Camelia Soto
San Juan, PR 00926 - Phone
- (787) 771-8383
- NPI assigned
- Mar 24, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 | 8660 | PR | Primary |
Addresses
Primary practice location
Farmacia Rey #10 Calle Arzuaga #100
Esquina Camelia Soto
San Juan, PR 00926
Mailing address
HC 1 Box 11963
Carolina, PR 00987-9697
Phone (787) 212-4553
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JG Health Services LLC | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- San Juan, PR
- NPI 1366730228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1891633376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 1 BOX 11963",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009879697",
"telephone_number": "787-212-4553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FARMACIA REY #10 CALLE ARZUAGA #100",
"address_2": "ESQUINA CAMELIA SOTO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-771-8383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA OTERO",
"first_name": "NELSON",
"middle_name": "OMAR",
"name_suffix": "Sr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-03-24",
"last_updated": "2026-03-24",
"certification_date": "2026-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "8660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.