Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 7798 | PR |
NPI | 1013022409 |
---|---|
Provider Name | Dr. Helen Rosa Santiago |
First Address | San Juan, PR 00926-5985 |
Second Address | San Juan, PR 00918-8001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E-02411 | (02) | PR |