Individual
DR. RANDY G RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
CARR 115 KM 11.3, BO PUEBLO, RINCON, PR 00677-0060
(939) 969-0038
Mailing address
PO BOX 71, AGUADA, PR 00602-0071
(939) 969-0038
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6531
PR
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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