Individual
MARYANN SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
FARMACIA SAN ANTONIO, 149 TIERRA SANTA, VILLALBA, PR 00766
(787) 847-1096
Mailing address
HC 5 BOX 13751, JUANA DIAZ PR, JUANA DIAZ, PR 00795-9518
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003171
PR
Other
Enumeration date
12/26/2006
Last updated
07/08/2007
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