Individual
ETANISLAO RIVERA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
57 CALLE PRINCIPAL, BARRANQUITAS, PR 00794-1631
(787) 857-1775
(787) 857-0775
Mailing address
57 CALLE PRINCIPAL, BARRANQUITAS, PR 00794-1631
(787) 857-1775
(787) 857-0775
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3428
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3428
PHARMACIST LICENSE
PR
Enumeration date
07/28/2005
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us