Individual
MR. EBENEZER SANTIAGO - SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CALLE 13 O4, VILLA RETIRO, SANTA ISABEL, PR 00757
(787) 678-1829
Mailing address
CALLE 13 04, VILLA RETIRO, SANTA ISABEL, PR 00757
(787) 678-1829
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
4640687
PR
347C00000X
Private Vehicle
Primary
4640687
PR
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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