Doctor Name: | MR. ERIC SANTIAGO RIVERA |
NPI Number: | 1033263231 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 12567 |
Business Practice Address: | C11 Calle 5 Ub Rio Sol Penuelas, PR - 006241824 |
Business Phone Number: | 7878363075 |
Business Fax Number: | |
Mailing Address: | C11 Calle 5, Ub Rio Sol PENUELAS |
State: | PR |
Postal Code: | 006241824 |
Phone Number: | 7878363075 |
Fax Number: | |
NPI Enumeration Date: | 01/23/2007 |
NPI Last Update Date: | 10/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 12567 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |