Individual
DOMINGO SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1044 CALLE JAIME PERICAS, PONCE, PR 00717-0572
(787) 673-6074
Mailing address
1044 CALLE JAIME PERICAS, PONCE, PR 00717-0572
(787) 673-6074
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
7463
PR
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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