Provider Demographics
NPI:1902241169
Name:ANDUJAR-RIVERA, KRYSTAHL Z (MD)
Entity Type:Individual
Prefix:DR
First Name:KRYSTAHL
Middle Name:Z
Last Name:ANDUJAR-RIVERA
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:POLICLINICA DR. LUIS RODRIGUEZ
Mailing Address - Street 2:AVE. ROBERTO SANCHEZ VILELLA, A6
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00983-4461
Mailing Address - Country:US
Mailing Address - Phone:787-752-7897
Mailing Address - Fax:
Practice Address - Street 1:POLICLINICA DR LUIS RODRIGUEZ
Practice Address - Street 2:A6 AVE ROBERTO SANCHEZ VILLELA
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00983-0098
Practice Address - Country:US
Practice Address - Phone:787-752-7897
Practice Address - Fax:787-641-4561
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-01
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR19880207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology