MEDICARE: DR. ALEJANDRO RIVERA PHARM.D.

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	6064	PR

General Provider Information

NPI Number	:	1386174365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEJANDRO RIVERA PHARM.D.

Provider Business Mailing Address
First Line	:	D36 CALLE TOPACIO PASEO REAL
Second Line	:
City	:	DORADO
State	:	PR
Zip	:	00646
Country	:	US
Telephone Number	:	787-617-2143
Fax Number	:	787-278-2080

Provider Business Practice Location Address
First Line	:	1 CARR 696
Second Line	:
City	:	DORADO
State	:	PR
Zip	:	00646-3307
Country	:	US
Telephone Number	:	787-278-2075
Fax Number	:	787-278-2080

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

Provider Enumeration Date	:	06/13/2017
Last Update Date	:	06/13/2017

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Directions to “ DR. ALEJANDRO RIVERA PHARM.D.” Practice Location

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