Individual
KIARA MELISSA SANTIAGO FIDALGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CARR 31 KM 24.0, JUNCOS, PR 00777
(787) 713-1425
Mailing address
77 CAUTIVA ALMACIGOS, HACIENDA SAN JOSE, CAGUAS, PR 00727
(787) 222-9926
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
006634
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5031801
—
PR
Enumeration date
01/15/2019
Last updated
01/15/2019
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