Provider Demographics
NPI:1780615138
Name:SANTIAGO-RIVERA, NORMA EDITH (MD)
Entity type:Individual
Prefix:DR
First Name:NORMA
Middle Name:EDITH
Last Name:SANTIAGO-RIVERA
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Gender:F
Credentials:MD
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Mailing Address - Street 1:220 PLAZA ADVANCE AUTO SUITE 101
Mailing Address - Street 2:PMB 225
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976
Mailing Address - Country:US
Mailing Address - Phone:787-641-2975
Mailing Address - Fax:787-641-4380
Practice Address - Street 1:10 CALLE CASIA
Practice Address - Street 2:SURGICAL SERVICE (112)
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-3200
Practice Address - Country:US
Practice Address - Phone:787-641-7582
Practice Address - Fax:787-641-4380
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2016-12-27
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Provider Licenses
StateLicense IDTaxonomies
PR11947208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery