Individual
MRS. MIRIAM ENID SANTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.T.
Contact information
Practice address
45 CALLE 25 DE JULIO, GUANICA, PR 00653-2713
(787) 821-2610
(787) 821-0268
Mailing address
45 CALLE 25 DE JULIO, GUANICA, PR 00653-2713
(787) 821-2610
(787) 821-0268
Taxonomy
Speciality
Code
Description
License number
State
246ZA2600X
Medical Art Specialist/Technologist
Primary
1888
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38306
MEDICARE ID
PR
Enumeration date
02/05/2009
Last updated
02/05/2009
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