Individual
MRS. MARIEN SANTAELLA IRIZARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5151 CALLE LUCAS AMADEO, PONCE, PR 00717-1210
(787) 286-6060
(787) 286-6161
Mailing address
5151 CALLE LUCAS AMADEO, PONCE, PR 00717-1210
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
16232
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16232
PRACTICE LICENCE
PR
Enumeration date
06/08/2006
Last updated
03/01/2011
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