Individual provider · NPI-1

Yasen Bonew Rivera

Pharmacist · Guaynabo, PR

NPI number1306596879
StatusActive
Last updated in NPPESMar 27, 2022

Details

NPI
1306596879
Entity type
Individual (NPI-1)
Name
Yasen Bonew Rivera
Sex
Male
Sole proprietor
No
Enumeration date
Mar 27, 2022
Certification date
Mar 27, 2022
Last updated
Mar 27, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist2324PRYes
390200000X Student in an Organized Health Care Education/Training Program2324PR

Practice location

35 Calle Juan C Borbon
Guaynabo, PR 00969-5374

Phone 787-287-3725

Mailing address

35 Calle Juan C Borbon
Guaynabo, PR 00969-5374

Phone 787-287-3725

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