Provider Demographics
NPI:1316396278
Name:SANTOS, ALEXA BEATRIZ I (BSN)
Entity Type:Individual
Prefix:MRS
First Name:ALEXA
Middle Name:BEATRIZ
Last Name:SANTOS
Suffix:I
Gender:F
Credentials:BSN
Other - Prefix:MRS
Other - First Name:ALEXA
Other - Middle Name:BEATRIZ
Other - Last Name:SANTOS
Other - Suffix:I
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:CARR.172 KM 9 H3
Mailing Address - Street 2:RIO ABAJO
Mailing Address - City:CIDRA
Mailing Address - State:PR
Mailing Address - Zip Code:00739-3513
Mailing Address - Country:US
Mailing Address - Phone:787-597-1663
Mailing Address - Fax:
Practice Address - Street 1:CARR.172 KM9 H0
Practice Address - Street 2:RIO ABAJO
Practice Address - City:CIDRA
Practice Address - State:PR
Practice Address - Zip Code:00739-3513
Practice Address - Country:US
Practice Address - Phone:787-597-1663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-10
Last Update Date:2016-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR74054163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse