1346524402 NPI number — MISS ARACELIS SANTIAGO-RIVERA PHA

Table of content: MISS ARACELIS SANTIAGO-RIVERA PHA (NPI 1346524402)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346524402 NPI number — MISS ARACELIS SANTIAGO-RIVERA PHA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SANTIAGO-RIVERA
Provider First Name:
ARACELIS
Provider Middle Name:
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
Provider Credential Text:
PHA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1346524402
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/06/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 4055
Provider Second Line Business Mailing Address:
CFSE AVE. MIRAMAR CARR #2 BO. OBRERO
Provider Business Mailing Address City Name:
ARECIBO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00614-4055
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-878-5757
Provider Business Mailing Address Fax Number:
787-880-6537

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CFSE AVE. MIRAMAR CARR #2 BO. OBRERO
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ARECIBO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00614-4055
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-878-5757
Provider Business Practice Location Address Fax Number:
787-880-6537
Provider Enumeration Date:
10/06/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 333600000X , with the licence number:  4492 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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