Individual
MYRNA SANTIAGO CAMACHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 AVE BETANCES URB HERMANAS DAVILA, BAYAMON, PR 00959
(787) 780-8000
(787) 740-7149
Mailing address
PO BOX 51527, TOA BAJA, PR 00950-1527
(787) 780-8000
(787) 740-7149
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
659
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30513
TRIPLE-S
PR
Enumeration date
04/17/2008
Last updated
06/19/2013
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