Individual
MS. MARICARMEN SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIC
Contact information
Practice address
5 TOMAS JORDAN, UTUADO, PR 00641
(787) 894-1145
(787) 894-1145
Mailing address
5 TOMAS JORDAN, UTUADO, PR 00641
(787) 894-1145
(787) 894-1145
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
573
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31113
SSS
PR
Enumeration date
02/27/2008
Last updated
04/14/2008
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