Organization
VICTOR A RIVERA INC
Active
Other names
FARMACIA SAN ANDRES
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS RIVERA (PRESIDENT)
(787) 869-2460
Entity
Organization
Contact information
Practice address
RAMAL CARRETERA 164 KM 0 2, SECTOR DESVIO, NARANJITO, PR 00719
(787) 869-3345
(787) 869-5532
Mailing address
PO BOX 923, NARANJITO, PR 00719-0923
(787) 869-3345
(787) 869-5532
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
17F1622
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2083412
PK
—
Enumeration date
10/04/2006
Last updated
12/15/2015
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