Individual
MR. CARLOS SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
CALLE JOSE DE DIEGO 392 OESTE, APARTADO 372770, CAYEY, PR 00737-2770
(787) 738-2222
(787) 738-2149
Mailing address
URBANIZACION SAN JOSE, E-15-A, AIBONITO, PR 00705
(787) 738-5020
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
842
PR
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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