Healthcare Provider Details

I. General information

NPI: 1730790668
Provider Name (Legal Business Name): CINDY JANET ADORNO-RIVERA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2020
Last Update Date: 12/07/2020
Certification Date: 12/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 2 KM 140
BARCELONETA PR
00617
US

IV. Provider business mailing address

HC 3 BOX 31930
MOROVIS PR
00687-9032
US

V. Phone/Fax

Practice location:
  • Phone: 787-846-6829
  • Fax:
Mailing address:
  • Phone: 787-346-8209
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number006843
License Number StatePR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: