Organization
NESC22CSP,SERVICIOSMEDICOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NELSON E SANTIAGO M.D. (PRESIDENT)
(787) 560-3350
Entity
Organization
Contact information
Practice address
URB. MONTEMAR NO. 112, URB. MONTEMAR NO. 112, AGUADA, PR 00602
(787) 560-3350
Mailing address
URB. MONTEMAR NO. 112, AGUADA, PR 00602-3034
(787) 560-3350
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
11251
PR
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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