Provider Demographics
NPI:1790505360
Name:RIVERA SANTANA, JOYCE
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:
Last Name:RIVERA SANTANA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1507 PASEO BUENA VIS
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717-2516
Mailing Address - Country:US
Mailing Address - Phone:787-983-1998
Mailing Address - Fax:
Practice Address - Street 1:1507 PASEO BUENA VIS
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-2516
Practice Address - Country:US
Practice Address - Phone:787-983-1998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-16
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program