Individual
DR. IVAN JOSE SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
85 JOSE CELSO BARBOSA, LAS PIEDRAS, PR 00771
(787) 647-7330
Mailing address
89 AVE DE DIEGO PMB 643, SUITE 105, SAN JUAN, PR 00927-6372
(787) 647-7330
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2507
PR
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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