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Individual
DR. ENRIQUE A SANTIAGO
Active
Individual
DR. ENRIQUE A SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., MBA/HCM
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D008588
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1523449
TRICARE
PR
01
—
40993
SSS
PR
01
—
4724
INTERNATIONAL MEDICAL CAR
PR
Enumeration date
01/03/2006
Last updated
12/16/2019
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