Provider Demographics
NPI:1184827289
Name:FRANZUELA-SANTIAGO, MARIA IRENE CRISTOBAL (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARIA IRENE
Middle Name:CRISTOBAL
Last Name:FRANZUELA-SANTIAGO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CMR 454 BOX 1223
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09250
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:BLDG 5810, KATTERBACH KASERNE
Practice Address - Street 2:
Practice Address - City:ANSBACH
Practice Address - State:BAVARIA
Practice Address - Zip Code:91522
Practice Address - Country:DE
Practice Address - Phone:01149980-283-3398
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001194678163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care