Doctor Name: | DR. JOHANA SANTIAGO |
NPI Number: | 1639270549 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 16444 |
Business Practice Address: | Carr 592 Km 5.6 Bo Amuelas #115 Juana Diaz, PR - 007952872 |
Business Phone Number: | 7878376574 |
Business Fax Number: | |
Mailing Address: | Cond. Teide Aptm 1202, #185 Costa Rica Street SAN JUAN |
State: | PR |
Postal Code: | 00917 |
Phone Number: | 7878244098 |
Fax Number: | |
NPI Enumeration Date: | 09/25/2006 |
NPI Last Update Date: | 12/03/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 16444 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |