Provider Demographics
NPI:1932361649
Name:RIVERA CALDERON, DORIS E
Entity Type:Individual
Prefix:
First Name:DORIS
Middle Name:E
Last Name:RIVERA CALDERON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 2 BOX 50179
Mailing Address - Street 2:
Mailing Address - City:COMERIO
Mailing Address - State:PR
Mailing Address - Zip Code:00782-9643
Mailing Address - Country:US
Mailing Address - Phone:787-516-8937
Mailing Address - Fax:
Practice Address - Street 1:40 CALLE GEORGETTI
Practice Address - Street 2:ESQ. SANTIAGO R. PALMER
Practice Address - City:COMERIO
Practice Address - State:PR
Practice Address - Zip Code:00782-2537
Practice Address - Country:US
Practice Address - Phone:787-875-2121
Practice Address - Fax:787-875-2245
Is Sole Proprietor?:No
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR003522183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician