Provider Demographics
NPI:1245207133
Name:SANTOS RIOS, NITZA M
Entity Type:Individual
Prefix:MRS
First Name:NITZA
Middle Name:M
Last Name:SANTOS RIOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:C /MONTEVIDEO #1022
Mailing Address - Street 2:URB LAS AMERICAS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921-2347
Mailing Address - Country:US
Mailing Address - Phone:787-637-7789
Mailing Address - Fax:787-274-9128
Practice Address - Street 1:C /MONTEVIDEO #1022
Practice Address - Street 2:URB LAS AMERICAS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-2347
Practice Address - Country:US
Practice Address - Phone:787-637-7789
Practice Address - Fax:787-274-9128
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-01
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR324225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist