| Doctor Name: | JEZENIA SANTIAGO |
| NPI Number: | 1093097511 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW |
| License Number: | 9323 |
| Business Practice Address: | Hc 4 Box 9077 Canovanas, PR - 007299869 |
| Business Phone Number: | 7876338615 |
| Business Fax Number: | |
| Mailing Address: | Hc-04 Box 9077 Bo. Palma Sola, CANOVANAS |
| State: | PUERTO RICO |
| Postal Code: | 00729 |
| Phone Number: | 7876338615 |
| Fax Number: | |
| NPI Enumeration Date: | 09/10/2011 |
| NPI Last Update Date: | 09/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 9323 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |