Provider Demographics
NPI:1063473650
Name:SANTAELLA, MARIA L (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:L
Last Name:SANTAELLA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:C18 CALLE TULANE
Mailing Address - Street 2:URB. SANTA ANA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927-4903
Mailing Address - Country:US
Mailing Address - Phone:787-758-2525
Mailing Address - Fax:787-764-6839
Practice Address - Street 1:C18 CALLE TULANE
Practice Address - Street 2:URB. SANTA ANA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927-4903
Practice Address - Country:US
Practice Address - Phone:787-758-2525
Practice Address - Fax:787-764-6839
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR4404207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology