Provider Demographics
NPI:1740968957
Name:PEREZ RIVERA, IRIS NOELIA
Entity type:Individual
Prefix:
First Name:IRIS
Middle Name:NOELIA
Last Name:PEREZ RIVERA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:IRIS
Other - Middle Name:N
Other - Last Name:PEREZ RIVERA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1104
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-1104
Mailing Address - Country:US
Mailing Address - Phone:787-478-1501
Mailing Address - Fax:
Practice Address - Street 1:35 AVE. JUAN CARLOS DE BORBON STE 77
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:787-287-3725
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-07
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician