Healthcare Provider Details

I. General information

NPI: 1881523314
Provider Name (Legal Business Name): CAROLINA RIVERA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BARRIO ATALAYA CARR. 411 KM 9.0
AGUADA PR
00602
US

IV. Provider business mailing address

9 VILLA OFELIA
AGUADA PR
00602-9833
US

V. Phone/Fax

Practice location:
  • Phone: 787-868-0959
  • Fax: 787-868-0959
Mailing address:
  • Phone: 787-868-0959
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number8340
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: