Individual
MRS. BRENDA L SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
S.W.
Contact information
Practice address
URB. VILLA CAROLINA CALLE 535, BLOQ. 195 #4, CAROLINA, PR 00987
(787) 690-2861
Mailing address
PO BOX 9258, CAROLINA, PR 00988-9258
(787) 690-2861
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
20555
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2660201
LICENCIA
PR
Enumeration date
07/10/2013
Last updated
07/10/2013
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