Organization
WEST PCP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANTIAGO RIVERA ORTEGA MD (PRESIDENT)
(787) 830-1654
Entity
Organization
Contact information
Practice address
CARR 113 KM 1.2 BO GUAYABO, ISABELA, PR 00662
(787) 830-1654
(787) 830-1654
Mailing address
AVE. MILITAR 3623 PMB 492, ISABELA, PR 00662
(787) 830-1654
(787) 830-1654
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/10/2020
Last updated
08/13/2020
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