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Individual

DR. HECTOR CARLOS SANTIAGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
500 JOHN WILL HARRIS, BAYAMON, PR 00957-6257
(787) 765-1915
(787) 765-9854
Mailing address
500 JOHN WILL HARRIS, BAYAMON, PR 00957-6257
(787) 765-1915
(787) 765-9854

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
139-397
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
139-397
PR BOARD OF OPTOMETRY LICENSES
PR
Enumeration date
07/14/2015
Last updated
07/14/2015
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