Provider Demographics
NPI:1184404493
Name:SANTIAGO, ARIANNE M (NL)
Entity type:Individual
Prefix:
First Name:ARIANNE
Middle Name:M
Last Name:SANTIAGO
Suffix:
Gender:F
Credentials:NL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 AVE SIMON MADERA
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924-2232
Mailing Address - Country:US
Mailing Address - Phone:787-504-6004
Mailing Address - Fax:
Practice Address - Street 1:15 AVE SIMON MADERA
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924-2232
Practice Address - Country:US
Practice Address - Phone:787-504-6004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR159175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty