Provider Demographics
NPI:1760046817
Name:PEREZ RIVERA, YEIRY MARIE (PHARMD)
Entity Type:Individual
Prefix:
First Name:YEIRY
Middle Name:MARIE
Last Name:PEREZ RIVERA
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 1:91 CALLE GEORGETTI
Mailing Address - Street 2:
Mailing Address - City:NARANJITO
Mailing Address - State:PR
Mailing Address - Zip Code:00719-3025
Mailing Address - Country:US
Mailing Address - Phone:787-869-2290
Mailing Address - Fax:
Practice Address - Street 1:91 CALLE GEORGETTI
Practice Address - Street 2:
Practice Address - City:NARANJITO
Practice Address - State:PR
Practice Address - Zip Code:00719-3025
Practice Address - Country:US
Practice Address - Phone:787-869-2290
Practice Address - Fax:787-869-1872
Is Sole Proprietor?:No
Enumeration Date:2019-04-24
Last Update Date:2019-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6623183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist