Individual
DIANILDA SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
HC 2, ARECIBO, PR 00612-9073
(787) 817-2081
(787) 817-2081
Mailing address
HC 02 BOX 17294 CARR MUNICIPAL, ARECIBO, PR 00612
(787) 817-2081
(787) 817-2081
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1924
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1425787
DRIVER LICENSING
PR
Enumeration date
03/16/2007
Last updated
07/08/2007
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