Individual
EVELIO SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPL
Contact information
Practice address
62 JOSE C VAZQUEZ, AIBONITO, PR 00705
(787) 362-7192
Mailing address
HC 1 BOX 6606, AIBONITO, PR 00705-9519
(787) 362-7192
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3161
PR
Other
Enumeration date
05/14/2014
Last updated
05/19/2014
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