Individual
SONIA SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CARR 14 AVE TITO CASTRO, PONCE, PR 00732
(787) 840-6630
(787) 844-4130
Mailing address
PO BOX 465, COAMO, PR 00769-0465
(787) 844-4130
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
013178
PR
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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