Provider Demographics
NPI:1093047813
Name:ARCE SANTIAGO, FERDINAND (PHD)
Entity Type:Individual
Prefix:DR
First Name:FERDINAND
Middle Name:
Last Name:ARCE SANTIAGO
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 1 BOX 4209
Mailing Address - Street 2:
Mailing Address - City:LARES
Mailing Address - State:PR
Mailing Address - Zip Code:00669-9606
Mailing Address - Country:US
Mailing Address - Phone:787-593-3094
Mailing Address - Fax:
Practice Address - Street 1:CARRETERRA 123 KM 55.8
Practice Address - Street 2:BARRIO SALTO ABAJO
Practice Address - City:UTUADO
Practice Address - State:PR
Practice Address - Zip Code:00641-2719
Practice Address - Country:US
Practice Address - Phone:787-593-3094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-03
Last Update Date:2011-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3499103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical