Provider Demographics
NPI:1336124627
Name:RIOS SANTIAGO, ELFREN F (MD)
Entity Type:Individual
Prefix:DR
First Name:ELFREN
Middle Name:F
Last Name:RIOS SANTIAGO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:MENDEZ VIGO #275
Mailing Address - Street 2:
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-4904
Mailing Address - Country:US
Mailing Address - Phone:787-796-6154
Mailing Address - Fax:787-278-5769
Practice Address - Street 1:MENDEZ VIGO #275
Practice Address - Street 2:
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646-4904
Practice Address - Country:US
Practice Address - Phone:787-796-6154
Practice Address - Fax:787-278-5769
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-09
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7399207Q00000X
PR62171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR7399OtherMEDICAL LICENCE NUMBER