Individual
DR. LUIS SANTIAGO RIVERA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9330 FL-54, TRINITY, FL 34655
(727) 834-4000
Mailing address
PO BOX 561040, GUAYANILLA, PR 00656-3040
(787) 605-2248
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
19837
PR
207P00000X
Emergency Medicine Physician
2018023743
MO
207P00000X
Emergency Medicine Physician
A153797
CA
207P00000X
Emergency Medicine Physician
Primary
ME135275
FL
207P00000X
Emergency Medicine Physician
R7581
TX
390200000X
Student in an Organized Health Care Education/Training Program
32049-R
PR
390200000X
Student in an Organized Health Care Education/Training Program
32761-R
PR
390200000X
Student in an Organized Health Care Education/Training Program
33300-R
PR
Other
Enumeration date
07/14/2015
Last updated
08/10/2018
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