Individual
DR. MARISEL SANTIAGO GONZALEZ
Active
Individual
DR. MARISEL SANTIAGO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
10609
PR
208000000X
Pediatrics Physician
Primary
C1-0009135
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200111611
—
DE
Enumeration date
09/02/2006
Last updated
08/19/2022
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