Provider Demographics
NPI:1497952584
Name:VILA-RIVERA, KARINA (MD)
Entity Type:Individual
Prefix:DR
First Name:KARINA
Middle Name:
Last Name:VILA-RIVERA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W4 AVE PARK GDNS
Mailing Address - Street 2:PARK GARDENS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-2153
Mailing Address - Country:US
Mailing Address - Phone:787-502-3495
Mailing Address - Fax:
Practice Address - Street 1:MEDICAL PAVILION SUITE 5
Practice Address - Street 2:CALLE SAN RAFAEL 1396
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00910
Practice Address - Country:US
Practice Address - Phone:787-725-6713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17599207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology