Individual
MRS. JACQUELINE SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTL
Contact information
Practice address
148 BDA FELIX CORDOVA DAVILA, PLAZA KAROMA #20, MANATI, PR 00674-5956
(787) 548-6271
Mailing address
PO BOX 1273, MOROVIS, PR 00687-1273
(787) 548-6271
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
000888
PR
Other
Enumeration date
03/31/2007
Last updated
07/08/2007
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