Healthcare Provider Details

I. General information

NPI: 1942064118
Provider Name (Legal Business Name): SAYEL RIVERA-GARCIA PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/08/2024
Last Update Date: 02/08/2024
Certification Date: 02/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AV. JOSE KIKO CUSTODIO HOSPITAL DEL CENTRO COMPRENSIVO DE CANCER
SAN JUAN PR
00927
US

IV. Provider business mailing address

PO BOX 365067
SAN JUAN PR
00936-5067
US

V. Phone/Fax

Practice location:
  • Phone: 787-772-8300
  • Fax:
Mailing address:
  • Phone: 787-758-2525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number006673
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: