Individual
MRS. IVONNE YANIRA SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
BO CAMITAL BAJO, CARR #2, AGUADILLA, PR 00605
(787) 882-2700
Mailing address
PO BOX 922, AGUADA, PR 00602-0922
(787) 922-5427
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12993
PR
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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