Provider Demographics
NPI:1396846119
Name:SANTIAGO RIOS, KAREN J (MD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:J
Last Name:SANTIAGO RIOS
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:PO BOX 8103
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-8103
Mailing Address - Country:US
Mailing Address - Phone:787-637-5715
Mailing Address - Fax:
Practice Address - Street 1:102 AVENIDA INDUSTRIAL EL JIBARO
Practice Address - Street 2:HOSPITAL MENONITA
Practice Address - City:CIDRA, PUERTO RICO
Practice Address - State:PR
Practice Address - Zip Code:00739
Practice Address - Country:US
Practice Address - Phone:787-637-5715
Practice Address - Fax:787-739-9922
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2015-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16015207RH0003X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR16015OtherMEDICAL LICENCE NUMBER