Individual
DR. DAVID SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MDS
Contact information
Practice address
1311 AVE AMERICO MIRANDA, SAN JUAN, PR 00921-2118
(787) 792-2850
(787) 725-3440
Mailing address
1311 AVE AMERICO MIRANDA, SAN JUAN, PR 00921-2118
(787) 792-2850
(787) 725-3440
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1520
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1520
LIC
PR
Enumeration date
11/03/2008
Last updated
11/03/2008
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