Individual
MRS. ELIZAMIR SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LND
Contact information
Practice address
CALLE JULIO PEREZ IRIZARRY LOCAL 2B, HORMIGUEROS, PR 00660
(787) 371-3497
Mailing address
303 CALLE REINA ANA, URB LAS QUINTAS, SAN GERMAN, PR 00683
(787) 371-3497
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
Primary
1762
PR
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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