Provider Demographics
NPI:1982957643
Name:SANTIAGO RIVERA, ARLEEN DEL C
Entity Type:Individual
Prefix:
First Name:ARLEEN
Middle Name:DEL C
Last Name:SANTIAGO RIVERA
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:VENUS GARDENS OESTE
Mailing Address - Street 2:STREET C BE18
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-4650
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:201 AVENUE DE DIEGO PLAZA SAN FRANCISCO
Practice Address - Street 2:SUITE 55
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927
Practice Address - Country:US
Practice Address - Phone:787-763-8996
Practice Address - Fax:787-753-2774
Is Sole Proprietor?:No
Enumeration Date:2012-10-18
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8717183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician