Individual
EDGARDO R SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
BO 515, NARANJITO, PR 00719
(787) 869-5900
(787) 869-6120
Mailing address
HC 1 BOX 5368, BARRANQUITAS, PR 00794-9690
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
19283
PR
Other
Enumeration date
07/21/2011
Last updated
07/21/2011
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