Provider Demographics
NPI:1114516051
Name:RIVERA, RIGOBERTO O (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RIGOBERTO
Middle Name:O
Last Name:RIVERA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 S STUART PLACE RD STE F
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78552-6483
Mailing Address - Country:US
Mailing Address - Phone:956-368-5060
Mailing Address - Fax:956-368-5061
Practice Address - Street 1:101 S STUART PLACE RD STE F
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78552-6483
Practice Address - Country:US
Practice Address - Phone:956-368-5060
Practice Address - Fax:956-368-5061
Is Sole Proprietor?:No
Enumeration Date:2021-01-14
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX487881835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist