Healthcare Provider Details

I. General information

NPI: 1831997337
Provider Name (Legal Business Name): MICHAEL JOEL RIVERA PHARM D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2025
Last Update Date: 03/03/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR #2 KM 62.7 SECTOR CANDELARIA, BO. SABANA HOYOS
ARECIBO PR
00612
US

IV. Provider business mailing address

BO. ISLOTE 2 278 CALLE 15
ARECIBO PR
00612
US

V. Phone/Fax

Practice location:
  • Phone: 787-881-2440
  • Fax:
Mailing address:
  • Phone: 787-224-6928
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number8389
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: