Provider Demographics
NPI:1023135787
Name:RIVERA, NANCY ROURER (PHARMACY TECHNICIAN)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:ROURER
Last Name:RIVERA
Suffix:
Gender:F
Credentials:PHARMACY TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 866 BOX 8736
Mailing Address - Street 2:
Mailing Address - City:FAJARDO
Mailing Address - State:PR
Mailing Address - Zip Code:00738
Mailing Address - Country:US
Mailing Address - Phone:787-860-1589
Mailing Address - Fax:787-860-1614
Practice Address - Street 1:CARRETERA # 3 CALLE MAUIUL
Practice Address - Street 2:WALGREENS COMERCIAL BONZAI PLAZA
Practice Address - City:FAJARDO
Practice Address - State:PR
Practice Address - Zip Code:00738
Practice Address - Country:US
Practice Address - Phone:787-860-1600
Practice Address - Fax:787-860-1614
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3588183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician