Provider Demographics
NPI:1548651938
Name:SANTIAGO RIOS, YELITZA (MD)
Entity type:Individual
Prefix:
First Name:YELITZA
Middle Name:
Last Name:SANTIAGO RIOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 CALLE FRANCISCO ZUNIGA
Mailing Address - Street 2:FAIR VIEW
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-7731
Mailing Address - Country:US
Mailing Address - Phone:787-517-1452
Mailing Address - Fax:
Practice Address - Street 1:715 CALLE FRANCISCO ZUNIGA
Practice Address - Street 2:FAIR VIEW
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-7731
Practice Address - Country:US
Practice Address - Phone:787-517-1452
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-06
Last Update Date:2015-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19010208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice