Provider Demographics
NPI:1306857719
Name:RIVERA-SARATE, SACHA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SACHA
Middle Name:
Last Name:RIVERA-SARATE
Suffix:
Gender:F
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:PO BOX 1114
Mailing Address - Street 2:
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00694-1114
Mailing Address - Country:US
Mailing Address - Phone:787-758-2525
Mailing Address - Fax:787-754-6995
Practice Address - Street 1:AVE. BORINQUEN ESQ. CALLE NIN
Practice Address - Street 2:BO. OBRERO
Practice Address - City:SANTURCE
Practice Address - State:PR
Practice Address - Zip Code:00916
Practice Address - Country:US
Practice Address - Phone:787-758-2525
Practice Address - Fax:787-754-6995
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4872183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist