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Individual
ELDA L SANTIAGO PEREZ
Active
Individual
ELDA L SANTIAGO PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
367
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223217
PREFERRED HEALTH PLAN
PR
01
—
3301737
ACAA
PR
01
—
50153
IMCS
PR
01
—
50193
PREFFERED MEDICARE CHOICE
PR
01
—
6740091
HUMANA HEALTH PLAN
PA
01
—
6740091
HUMANA INSURANCE
PR
05
—
84143SA
—
PR
01
—
870026
MEDICARE Y MUCHO MAS MMM
PR
01
—
9001874
CRUZ AZUL
PR
Enumeration date
09/13/2006
Last updated
07/08/2007
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