Provider Demographics
NPI:1487276317
Name:RODRIGUEZ-RIVERO, ANA I (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ANA
Middle Name:I
Last Name:RODRIGUEZ-RIVERO
Suffix:
Gender:F
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:URB TERRAZAS DE GUAYNABO
Mailing Address - Street 2:F-14 AMAPOLA STREET
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-922-5826
Mailing Address - Fax:
Practice Address - Street 1:CARR #14 KM 12 BO. RINCON SECTOR LAS LOMAS
Practice Address - Street 2:
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736-0073
Practice Address - Country:US
Practice Address - Phone:787-535-1001
Practice Address - Fax:787-535-1103
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-14
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR55793336C0003X
PR005579183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy