Individual
MARIELYS SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
HC 1 BOX 5223, CIALES, PR 00638-9819
(787) 871-0601
Mailing address
PO BOX 1427, CIALES, PR 00638-1427
(787) 871-0601
(787) 871-3960
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
006709
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006709
REGISTER & CERTIFICATION CARL
PR
Enumeration date
12/03/2013
Last updated
12/03/2013
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