Individual
MR. ENRIQUE SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
BARRIO CRUCES CARR 414, AGUADA, PR 00602-0000
(787) 560-9808
Mailing address
HC 57 BOX 9842, AGUADA, PR 00602-9715
(787) 560-9808
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
2373
PR
Other
Enumeration date
10/09/2013
Last updated
10/09/2013
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