Individual
TANIA MARIE GONZALEZ SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 AVE GAUTIER BENITEZ, CONSOLIDATED MEDICAL PLAZA (OFFICE 307A), CAGUAS, PR 00725
(939) 355-0304
(939) 355-0306
Mailing address
PO BOX 6106, CAGUAS, PR 00726-6106
(939) 355-0304
(939) 355-0306
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
105584
MN
207N00000X
Dermatology Physician
54430
MN
207N00000X
Dermatology Physician
LT15015
ND
207ND0900X
Dermatopathology Physician
Primary
22836
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015047800
—
FL
05
—
039370300
—
PR
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
Enumeration date
06/25/2009
Last updated
05/14/2026
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