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Individual

ELDA L SANTIAGO PEREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPT

Contact information

Practice address
B14 CALLE MARGINAL, URB FLAMBOYAN, MANATI, PR 00674
(787) 854-1546
(787) 854-1546
Mailing address
PO BOX 2160, VEGA BAJA, PR 00694
(787) 858-2507

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
367
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
223217
PREFERRED HEALTH PLAN
PR
01
3301737
ACAA
PR
01
50153
IMCS
PR
01
50193
PREFFERED MEDICARE CHOICE
PR
01
6740091
HUMANA HEALTH PLAN
PA
01
6740091
HUMANA INSURANCE
PR
05
84143SA
PR
01
870026
MEDICARE Y MUCHO MAS MMM
PR
01
9001874
CRUZ AZUL
PR
Enumeration date
09/13/2006
Last updated
07/08/2007
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