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Dr. Randy Omar Rivera Aviles

Pharmacist in Anasco, PR. Individual provider (NPI-1).

NPI number1194399485
StatusActive
Last updated in NPPESMay 19, 2021

Details

NPI
1194399485
Entity type
Individual (NPI-1)
Name
Dr. Randy Omar Rivera Aviles
Sex
Male
Sole proprietor
No
Enumeration date
May 19, 2021
Certification date
May 19, 2021
Last updated
May 19, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist006846PRYes

Practice location

17 Calle San Antonio
Anasco, PR 00610-2927

Phone 787-826-4400

Mailing address

Po Box 44
Anasco, PR 00610-0044

Phone 787-826-4400

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