Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 21013 | PR |
Y | 2081S0010X | Sports Medicine | 21013 | PR |
Y | 213ES0000X | Sports Medicine | 21013 | PR |
NPI | 1336554245 |
---|---|
Provider Name | Belmarie Rodriguez Santiago |
First Address | San Juan, PR 00929-0134 |
Second Address | Carolina, PR 00984 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2014 |
Last Update Date | 19/07/2019 |