Healthcare Provider Details

I. General information

NPI: 1982957643
Provider Name (Legal Business Name): ARLEEN DEL C SANTIAGO RIVERA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2012
Last Update Date: 10/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 AVENUE DE DIEGO PLAZA SAN FRANCISCO SUITE 55
SAN JUAN PR
00927
US

IV. Provider business mailing address

VENUS GARDENS OESTE STREET C BE18
SAN JUAN PR
00926-4650
US

V. Phone/Fax

Practice location:
  • Phone: 787-763-8996
  • Fax: 787-753-2774
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number8717
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: