Provider Demographics
NPI:1962756908
Name:RIVERA-ROBLES, NAHIR MARIE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NAHIR
Middle Name:MARIE
Last Name:RIVERA-ROBLES
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:VIA LAS ALTURAS
Mailing Address - Street 2:H-15 LA VISTA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924
Mailing Address - Country:US
Mailing Address - Phone:787-627-1802
Mailing Address - Fax:
Practice Address - Street 1:65 INFANTRY & JESUS FRAGOSO
Practice Address - Street 2:PLAZA CAROLINA
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00979
Practice Address - Country:US
Practice Address - Phone:787-257-8055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-30
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5577183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist