Individual
XAVIER DOMENECH SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CARR 486 KM 3.4 INT SECTOR LOS VARGAS ABRA HONDA, CAMUY, PR 00627
(939) 289-9564
Mailing address
HC 04 BOX 19667, CAMUY, PR 00627
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
023627
PR
Other
Enumeration date
12/14/2023
Last updated
09/23/2024
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