Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 2671 | PR |
Y | 213EG0000X | General Practice | 2671 | PR |
NPI | 1003024589 |
---|---|
Provider Name | Anayansi Santiago |
First Address | Aguada, PR 00602-0978 |
Second Address | Aguada, PR 00602 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2007 |
Last Update Date | 06/02/2017 |