Provider Demographics
NPI:1023024486
Name:SANTIAGO-LLORENS, JOSE FRANCISCO (DDS)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:FRANCISCO
Last Name:SANTIAGO-LLORENS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ANAIDA GARDENS 200
Mailing Address - Street 2:CALLE 1 APT #108
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716-2579
Mailing Address - Country:US
Mailing Address - Phone:787-449-7513
Mailing Address - Fax:
Practice Address - Street 1:AVE HOSTOS #216
Practice Address - Street 2:CENTRO DE DIAGNOSTICO Y TRATAMIENTO PLAYA DE PONCE
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00734-4254
Practice Address - Country:US
Practice Address - Phone:787-843-9393
Practice Address - Fax:787-841-0993
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice