MEDICARE: ABIMAEL RIVERA-CRUZ MD RPH

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	207N00000X	Dermatology Physician	18797	PR
2	207N00000X	Dermatology Physician	ME112838	FL
3	183500000X	Pharmacist	5112	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588839765
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIMAEL RIVERA-CRUZ MD RPH

Provider Business Mailing Address
First Line	:	HC 5 BOX 92257
Second Line	:
City	:	ARECIBO
State	:	PR
Zip	:	00612-9539
Country	:	US
Telephone Number	:	787-956-0020
Fax Number	:	787-956-0018

Provider Business Practice Location Address
First Line	:	CARR 653 KM 2.2
Second Line	:	SECTOR BARRANCA
City	:	ARECIBO
State	:	PR
Zip	:	00612
Country	:	US
Telephone Number	:	787-956-0020
Fax Number	:

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

Provider Enumeration Date	:	04/28/2008
Last Update Date	:	01/22/2026

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