Doctor Name: | ANGIENELLY SANTIAGO |
NPI Number: | 1053554436 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D., M.P.H |
License Number: | 17515 |
Business Practice Address: | Bo. Mavillas Carr 159 Km 17.4 Int Corozal, PR - 00783 |
Business Phone Number: | 7876333390 |
Business Fax Number: | |
Mailing Address: | Po Box 256, COROZAL |
State: | PR |
Postal Code: | 007830256 |
Phone Number: | 7876333390 |
Fax Number: | |
NPI Enumeration Date: | 04/14/2009 |
NPI Last Update Date: | 04/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 17515 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |