Individual
SHADIA SANTOS CONSTANTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
133 ROUTE 3, DEDEDO, GU 96929-6911
(671) 645-5500
Mailing address
133 ROUTE 3, DEDEDO, GU 96929-6911
(671) 645-5500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M-2067
GU
207R00000X
Internal Medicine Physician
MD435651
PA
207R00000X
Internal Medicine Physician
MTL-2017-078
GU
208M00000X
Hospitalist Physician
Primary
M-2067
GU
Other
Enumeration date
05/30/2008
Last updated
05/16/2019
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