Provider Demographics
NPI:1881736270
Name:RIVERA, SONIA LIGIA (RPH)
Entity type:Individual
Prefix:
First Name:SONIA
Middle Name:LIGIA
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:URB.TURABO GARDENS CALLE 43 M-1
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-6627
Mailing Address - Country:US
Mailing Address - Phone:787-744-7605
Mailing Address - Fax:
Practice Address - Street 1:AVE. LUIS MUNOZ MARIN
Practice Address - Street 2:APARTADO 4980
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00726-4980
Practice Address - Country:US
Practice Address - Phone:787-653-3434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1939183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist