Provider Demographics
NPI:1336183532
Name:SANTOS RIVERA, HECTOR A (MD)
Entity Type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:A
Last Name:SANTOS RIVERA
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:PO BOX 372346
Mailing Address - Street 2:
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00737-2346
Mailing Address - Country:US
Mailing Address - Phone:787-738-6444
Mailing Address - Fax:787-738-2445
Practice Address - Street 1:7, BALDORIOTY AVE.
Practice Address - Street 2:
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736
Practice Address - Country:US
Practice Address - Phone:787-738-6444
Practice Address - Fax:787-738-2445
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2014-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5473207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0026651Medicare PIN
PRC79571Medicare UPIN