Individual
GABRIELA NICOLLE SANTIAGO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
686 ST, VILLA REAL, 1 A-1, VEGA BAJA, PR 00693
(787) 858-5155
Mailing address
PO BOX 1032, VEGA ALTA, PR 00692-1032
(787) 412-2959
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3334
PR
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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