Doctor Name: | DR. KIYOMI M SANTOS ONODA |
NPI Number: | 1003806324 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 8100 |
Business Practice Address: | Jose Vicente Rodriguez Street Ste 602 Penuelas, PR - 00624 |
Business Phone Number: | 7878363288 |
Business Fax Number: | 7878363288 |
Mailing Address: | Po Box 10730, PONCE |
State: | PR |
Postal Code: | 007320730 |
Phone Number: | 7878363288 |
Fax Number: | 7878363288 |
NPI Enumeration Date: | 10/27/2005 |
NPI Last Update Date: | 06/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 8100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |