Provider Demographics
NPI:1033598206
Name:NAIVER CORP
Entity Type:Organization
Organization Name:NAIVER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:IVIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-693-0300
Mailing Address - Street 1:HC 2 BOX 8297
Mailing Address - Street 2:
Mailing Address - City:COROZAL
Mailing Address - State:PR
Mailing Address - Zip Code:00783-6071
Mailing Address - Country:US
Mailing Address - Phone:787-693-0300
Mailing Address - Fax:787-693-0302
Practice Address - Street 1:G4 CALLE 6
Practice Address - Street 2:URB MARIA DEL CARMEN
Practice Address - City:COROZAL
Practice Address - State:PR
Practice Address - Zip Code:00783-0000
Practice Address - Country:US
Practice Address - Phone:787-693-0300
Practice Address - Fax:787-693-0302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-21
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17F32883336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy