Healthcare Provider Details

I. General information

NPI: 1275461188
Provider Name (Legal Business Name): MONICA ANILIZ RIVERO ORTIZ PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 CALLE AUTONOMIA
CANOVANAS PR
00729-3242
US

IV. Provider business mailing address

80 CALLE AUTONOMIA
CANOVANAS PR
00729-3242
US

V. Phone/Fax

Practice location:
  • Phone: 787-876-2983
  • Fax: 787-876-2983
Mailing address:
  • Phone: 787-876-2983
  • Fax: 787-876-2983

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number8665
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: