Provider Demographics
NPI:1972661809
Name:CHACON RIOS, OSANA (MD)
Entity type:Individual
Prefix:DR
First Name:OSANA
Middle Name:
Last Name:CHACON RIOS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:335 CALLE REY FRANCISCO
Mailing Address - Street 2:LA VILLA DE TORRIMAR
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-3254
Mailing Address - Country:US
Mailing Address - Phone:787-402-2485
Mailing Address - Fax:787-765-6185
Practice Address - Street 1:500 AVE. MUNOZ RIVERA OFIC. 33-C
Practice Address - Street 2:CONDOMINIO EL CENTRO 2
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00918-3303
Practice Address - Country:US
Practice Address - Phone:787-402-2485
Practice Address - Fax:787-765-6185
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2021-07-19
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Provider Licenses
StateLicense IDTaxonomies
PR10616207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine