Individual
ADA L SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CARRETERA # 159 KM 13.0, SALIDA AHACIA, COROZAL, PR 00783
(787) 802-0605
Mailing address
PO BOX 407, COROZAL, PR 00783
(787) 802-0605
(787) 802-0605
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
15178
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04271
AMERICAN HEALTH
—
01
—
2011424
PREFFERRED HEALTH
—
01
—
22083SA
SSS
—
01
—
3958
PREFERRED MEDICAL CHOICE
—
01
—
7830029
HUMANA
—
01
—
A465
FIRST MEDICAL
—
Enumeration date
08/04/2006
Last updated
07/08/2007
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