Individual
MRS. MELISSA AIME RIVERA SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
40230 U.S. 27 N, STE 130, DAVENPORT, FL 33837-3383
(352) 259-2159
Mailing address
1580 SANTA BARBARA BLVD, THE VILLAGES, FL 32159-6827
(352) 259-2159
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
22950
PR
208D00000X
General Practice Physician
Primary
ACN1667
FL
Other
Enumeration date
07/29/2021
Last updated
11/04/2024
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