Doctor Name: | HEIDI SANTANA SANTANA |
NPI Number: | 1295889368 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D |
License Number: | 014651 |
Business Practice Address: | Carr 188 Km 1.5 Bo San Isidro Canovanas, PR - 00729 |
Business Phone Number: | 7879577733 |
Business Fax Number: | 7879577733 |
Mailing Address: | 165-6 Villa Carolina, Calle 419 CAROLINA |
State: | PR |
Postal Code: | 009854062 |
Phone Number: | 7879577733 |
Fax Number: | 7879577733 |
NPI Enumeration Date: | 01/23/2007 |
NPI Last Update Date: | 12/16/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 014651 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |