Provider Demographics
NPI:1003410366
Name:RIVERA, HECTOR ASBEL (PHARMD)
Entity type:Individual
Prefix:
First Name:HECTOR
Middle Name:ASBEL
Last Name:RIVERA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8395 SW 73RD AVE APT 425
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-7528
Mailing Address - Country:US
Mailing Address - Phone:754-244-1641
Mailing Address - Fax:
Practice Address - Street 1:6780 SW 40TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-3753
Practice Address - Country:US
Practice Address - Phone:305-667-1119
Practice Address - Fax:305-667-8450
Is Sole Proprietor?:No
Enumeration Date:2020-11-27
Last Update Date:2020-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS54598183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist