Provider Demographics
NPI:1992826085
Name:RIVERA GARCIA, ABIGAIL (PHARMACY TECH)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:RIVERA GARCIA
Suffix:
Gender:F
Credentials:PHARMACY TECH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB BRISAS DE CEIBA
Mailing Address - Street 2:ST 4 90
Mailing Address - City:CEIBA
Mailing Address - State:PR
Mailing Address - Zip Code:00735
Mailing Address - Country:US
Mailing Address - Phone:787-885-3879
Mailing Address - Fax:
Practice Address - Street 1:BRISAS DE CEIBA
Practice Address - Street 2:ST 5 90
Practice Address - City:CEIBA
Practice Address - State:PR
Practice Address - Zip Code:00735
Practice Address - Country:US
Practice Address - Phone:787-885-3879
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3147183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR3147OtherPHARMACY TECH