Individual
JANNETTE PEREZ SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
EDIF LA PALMA 14 N PERAL ST, SUITE 4-B, MAYAGUEZ, PR 00680
(787) 834-1548
(787) 834-1919
Mailing address
PO BOX 691, ANASCO, PR 00610-0691
(787) 826-2359
(787) 834-1919
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
20038
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20038
PROFESSIONAL LICENSE
PR
Enumeration date
06/12/2007
Last updated
07/08/2007
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