Individual
NANNETTE L. SANTIAGO BETANCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3 MUNOZ RIVERA, CAGUAS, PR 00925
(787) 286-2800
(787) 286-2805
Mailing address
PO BOX 1357, CAGUAS, PR 00726-1357
(787) 286-2800
(787) 286-2805
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
19946
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19946
MEDICAL LICENSE
PR
Enumeration date
06/14/2018
Last updated
06/07/2019
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