Provider Demographics
NPI:1144860495
Name:RIVERA-LOPEZ, DARIS YARITZA (PHARM D)
Entity type:Individual
Prefix:DR
First Name:DARIS
Middle Name:YARITZA
Last Name:RIVERA-LOPEZ
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VILLAS DE BUENA VISTA
Mailing Address - Street 2:K3 CALLE ZEUS
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956
Mailing Address - Country:US
Mailing Address - Phone:787-234-4396
Mailing Address - Fax:
Practice Address - Street 1:# 411 CALLE SEGARRA BECHARA INDUSTRIAL PARK
Practice Address - Street 2:MARGINAL AVE. KENNEDY
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?:No
Enumeration Date:2020-01-14
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6627183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist