Individual
NICOLE MARIE SIMONETTI SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
HOSPITAL EPISCOLAL SAN LUCAS, AVE TITO CASTRO 917, PONCE, PR 00717
(787) 844-2080
Mailing address
201-E CALLE CAPELLAN, PATIO SENORIAL, PONCE, PR 00731
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
18689
PR
Other
Enumeration date
10/18/2011
Last updated
07/10/2014
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