Provider Demographics
NPI:1649044124
Name:SANTANA HERNANDEZ, ROCIO CRISTAL
Entity type:Individual
Prefix:
First Name:ROCIO
Middle Name:CRISTAL
Last Name:SANTANA HERNANDEZ
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 1:230 AVE ARTERIAL HOSTOS APT 402
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-1471
Mailing Address - Country:US
Mailing Address - Phone:787-481-2134
Mailing Address - Fax:
Practice Address - Street 1:CALLE FONT MARTELO, RYDER HOSPITAL
Practice Address - Street 2:
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00961
Practice Address - Country:US
Practice Address - Phone:787-852-0768
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-14
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17133I208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice