Individual
JORGE LUIS SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
CALLE CANADAS 1324, CENTRO SALUD MENTAL SAN PATRICIO, SAN JUAN, PR 00921-0000
(787) 793-1550
Mailing address
CALLE CANADAS 1324, CENTRO SALUD MENTAL SAN PATRICIO, SAN JUAN, PR 00921-0000
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
25953
PR
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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