Individual
JOHAN DARYL SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
465 AVE DE HOSTO, URB EL VEDADO, SAN JUAN, PR 00918
(787) 946-4501
Mailing address
30-4T VILLA CAROLINA, 435 BLOQ 181, CAROLINA, PR 00983
(787) 690-9192
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
1923
PR
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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