Organization
DR. MANUEL R SANTIAGO DENTIST, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YOLANDA TEXIDOR (ADMINISTRATOR)
(787) 409-0474
Entity
Organization
Contact information
Practice address
HG15 CALLE LIZZIE GRAHAM, 7MA SECCION LEVITTWON, TOA BAJA, PR 00949-3635
(787) 261-4670
Mailing address
88 AVE LAS COLINAS, SANTA PAULA, GUAYNABO, PR 00969-5904
(787) 272-0469
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2358
PR
Other
Enumeration date
07/18/2007
Last updated
07/18/2007
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