Healthcare Provider Details

I. General information

NPI: 1063974301
Provider Name (Legal Business Name): HECTOR FRANCISCO RIVERA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2019
Last Update Date: 04/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 CALLE BARCELO
UTUADO PR
00641-2902
US

IV. Provider business mailing address

PO BOX 2331
UTUADO PR
00641-2331
US

V. Phone/Fax

Practice location:
  • Phone: 787-894-2075
  • Fax:
Mailing address:
  • Phone: 787-894-2075
  • Fax: 787-894-6272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number006252
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: