Provider Demographics
NPI:1346403698
Name:RIVERA GONZALEZ, SHARLENE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SHARLENE
Middle Name:
Last Name:RIVERA GONZALEZ
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 1866
Mailing Address - Street 2:
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00785-1866
Mailing Address - Country:US
Mailing Address - Phone:787-380-9114
Mailing Address - Fax:
Practice Address - Street 1:AVE LOS VETERANOS
Practice Address - Street 2:KM 134.7
Practice Address - City:GUAYAMA
Practice Address - State:PR
Practice Address - Zip Code:00784
Practice Address - Country:US
Practice Address - Phone:787-686-9409
Practice Address - Fax:787-866-2075
Is Sole Proprietor?:No
Enumeration Date:2008-07-08
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5210183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist