Provider Demographics
NPI:1891834792
Name:RIVERA, NORMA MAGALI (RPH)
Entity Type:Individual
Prefix:
First Name:NORMA
Middle Name:MAGALI
Last Name:RIVERA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6300 AVE ISLA VERDE
Mailing Address - Street 2:515 LA MANCHA
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00979-7153
Mailing Address - Country:US
Mailing Address - Phone:787-399-3931
Mailing Address - Fax:787-791-4126
Practice Address - Street 1:150 AVE LOS GOBERNADORES
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00979-7077
Practice Address - Country:US
Practice Address - Phone:787-791-1290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3272183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist