Wilma Ivette Santiago
General Practice Physician
1970 N Broad St
Lansdale
, Pennsylvania 19446-1002
Wilma Ivette Santiago
General Practice Physician
1970 N Broad St
Lansdale
, Pennsylvania 19446-1002
(787) 235-8279
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Wilma Ivette Santiago
- 751 Vanderburg Road Apt 4314
- King Of Prussia, PA
- Zip : 19406-2753
- Phone : (787) 235-8279
Second Address
- Wilma Ivette Santiago
- 1970 N Broad St
- Lansdale, PA
- Zip : 19446-1002
- Fax : (215) 368-8772
- Phone : (215) 368-1900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | MD461915 | PA |
National Provider Identifier
| NPI | 1013110584 |
|---|---|
| Provider Name | Wilma Ivette Santiago |
| First Address | King Of Prussia, PA 19406-2753 |
| Second Address | Lansdale, PA 19446-1002 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/06/2007 |
| Last Update Date | 31/05/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.