Doctor Name: | AMARILYS SANTIAGO |
NPI Number: | 1245605427 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LIC 3078 |
License Number: | 3078 |
Business Practice Address: | 4 Carr 31 # Km Juncos, PR - 007773868 |
Business Phone Number: | 7876796569 |
Business Fax Number: | |
Mailing Address: | Po Box 99, SAN LORENZO |
State: | PR |
Postal Code: | 007540099 |
Phone Number: | 7878000227 |
Fax Number: | |
NPI Enumeration Date: | 12/14/2015 |
NPI Last Update Date: | 12/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | 3078 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |