MEDICARE: YAMILKA DESIREE RIVERA MELENDEZ

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	PS69916	FL
2	183500000X	Pharmacist	8595	PR

General Provider Information

NPI Number	:	1316805898
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YAMILKA DESIREE RIVERA MELENDEZ

Provider Business Mailing Address
First Line	:	URB. LAS VEGAS I-1 CALLE PADRE JORGE MARTI LLORENS
Second Line	:
City	:	CATANO
State	:	PR
Zip	:	00962
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	URB. LAS VEGAS I-1 CALLE PADRE JORGE MARTI LLORENS
Second Line	:
City	:	CATANO
State	:	PR
Zip	:	00962
Country	:	US
Telephone Number	:	787-406-1017
Fax Number	:

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

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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Directions to “ YAMILKA DESIREE RIVERA MELENDEZ ” Practice Location

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