Individual
MICHELLE M SANTIAGO RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
AVE. DE DIEGO 369, TORRE SAN FRANCISCO SUITE 403, RIO PIEDRAS, PR 00924-3827
(787) 767-1414
Mailing address
112 CALLE GUARAGUAO, URB. MONTEHIEDRA, SAN JUAN, PR 00926-7101
(787) 767-1414
Taxonomy
Speciality
Code
Description
License number
State
2080P0216X
Pediatric Rheumatology Physician
Primary
18146
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18146
LICENCIA MD
PR
Enumeration date
03/26/2012
Last updated
12/27/2012
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