Individual
GENESIS SANTIAGO-ALVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1955 21ST AVE, VERO BEACH, FL 32960-3091
(772) 257-8224
(772) 252-3245
Mailing address
1555 INDIAN RIVER BLVD STE B210, VERO BEACH, FL 32960-7113
(772) 257-8224
(772) 257-8224
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN30636
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN30636
MEDICAL LICENSE
FL
Enumeration date
06/27/2025
Last updated
06/27/2025
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