Individual
NATHANAEL SANTIAGO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
A 1 REPARTO CELENIA, CABO ROJO, PR 00623
(787) 649-0872
(787) 255-1483
Mailing address
A 1 REPARTO CELENIA, CABO ROJO, PR 00623
(787) 649-0872
(787) 255-1483
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
541900
PR
Other
Enumeration date
03/18/2011
Last updated
03/18/2011
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