Provider Demographics
NPI:1093511420
Name:RIVERA NATAL, GEISHA MARY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:GEISHA
Middle Name:MARY
Last Name:RIVERA NATAL
Suffix:
Gender:
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:CC46 CLL PRINCESA
Mailing Address - Street 2:URB EST FUENTE IMPERIAL
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953
Mailing Address - Country:US
Mailing Address - Phone:787-934-6523
Mailing Address - Fax:
Practice Address - Street 1:AVE. KENNEDY # 411 CALLE SEGARRA
Practice Address - Street 2:BECHARA INDUSTRIAL PARK MARGINAL
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00920
Practice Address - Country:US
Practice Address - Phone:787-622-3000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR006628183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist