| Doctor Name: | MRS. DIANA IDALIA SANTOS |
| NPI Number: | 1487647236 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 6274 |
| Business Practice Address: | Calle Progreso #8 Altos Aguadilla, PR - 006035008 |
| Business Phone Number: | 7878190194 |
| Business Fax Number: | 7878190194 |
| Mailing Address: | Calle Progreso #14, Pmb 55 AGUADILLA |
| State: | PR |
| Postal Code: | 006035008 |
| Phone Number: | 7878190194 |
| Fax Number: | 7878190194 |
| NPI Enumeration Date: | 08/26/2005 |
| NPI Last Update Date: | 01/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 6274 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |