Individual
ANGIENELLY SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H
Contact information
Practice address
BO. MAVILLAS CARR 159 KM 17.4 INT, COROZAL, PR 00783
(787) 633-3390
Mailing address
PO BOX 256, COROZAL, PR 00783-0256
(787) 633-3390
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
17515
PR
Other
Enumeration date
04/14/2009
Last updated
04/14/2009
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