| Doctor Name: | DR. ELVIA GRISSELLE SANTIAGO VAZQUEZ |
| NPI Number: | 1013933043 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 5999 |
| Business Practice Address: | Na43 Calle 415 Country Club Carolina, PR - 009821801 |
| Business Phone Number: | 7877573491 |
| Business Fax Number: | 7877573491 |
| Mailing Address: | O37 Calle 3, Villa Venecia CAROLINA |
| State: | PR |
| Postal Code: | 009831518 |
| Phone Number: | 7877573491 |
| Fax Number: | 7877573491 |
| NPI Enumeration Date: | 07/14/2006 |
| NPI Last Update Date: | 10/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 5999 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |