Individual
MARISEL SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
CALLE URBANO RAMIREZ #3, COROZAL, PR 00783
(787) 859-5243
(787) 859-5243
Mailing address
PO BOX 1221, COROZAL, PR 00783
(787) 859-5243
(787) 859-5243
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1808
PR
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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