MEDICARE: RICHELYS MATOS BUFFIT PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	8663	PR

General Provider Information

NPI Number	:	1104533942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHELYS MATOS BUFFIT PHARMD

Provider Business Mailing Address
First Line	:	C38 URB SAN MIGUEL
Second Line	:
City	:	SANTA ISABEL
State	:	PR
Zip	:	00757-2505
Country	:	US
Telephone Number	:	787-709-3854
Fax Number	:

Provider Business Practice Location Address
First Line	:	C38 URB SAN MIGUEL
Second Line	:
City	:	SANTA ISABEL
State	:	PR
Zip	:	00757-2505
Country	:	US
Telephone Number	:	787-709-3854
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2022
Last Update Date	:	06/02/2026

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