Individual
DR. VIVIAN A JUSTINIANO SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
TENERIFE 68 SULTANA, MAYAGUEZ, PR 00680
(787) 910-9308
Mailing address
TENERIFE 68 SULTANA, MAYAGUEZ, PR 00680
(787) 910-9308
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
21039
PR
Other
Enumeration date
07/29/2018
Last updated
09/10/2018
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