Individual
MRS. MAYRA L. SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LND
Contact information
Practice address
BARRIO MANACILLO CENTRO MEDICO, SAN JUAN, PR 00936-8344
(787) 480-2783
Mailing address
PO BOX 70344, HOSPITAL SAN JUAN RAFAEL LOPEZ NUSSA PMB #079, SAN JUAN, PR 00936-8344
(787) 480-2700
(787) 764-3643
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
1112
PR
133V00000X
Registered Dietitian
Primary
1112
PR
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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