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Individual

DR. JUAN G SANTIAGO VEGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
17561

Contact information

Practice address
HC03, BOX 13437, PENUELAS, PR 00624
(787) 836-2216
Mailing address
HC03, BOX13437, PENUELAS, PR 00624
(787) 836-2216

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
17561
PR

Other

Enumeration date
05/20/2009
Last updated
12/28/2009
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