MEDICARE: NATALIA NICOLE RIVERA VAZQUEZ 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	008517	PR

General Provider Information

NPI Number	:	1639036296
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIA NICOLE RIVERA VAZQUEZ PHARMD

Provider Business Mailing Address
First Line	:	141 MANSIONES MONTE VERDE
Second Line	:	CALLE BORINQUENA D3
City	:	CAYEY
State	:	PR
Zip	:	00736
Country	:	US
Telephone Number	:	787-930-7615
Fax Number	:

Provider Business Practice Location Address
First Line	:	14 PR -123 PONCE
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00728
Country	:	US
Telephone Number	:	787-842-1314
Fax Number	:

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

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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