Provider Demographics
NPI:1356303085
Name:SANTIAGO, BELKIS (DMD)
Entity Type:Individual
Prefix:DR
First Name:BELKIS
Middle Name:
Last Name:SANTIAGO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2776
Mailing Address - Street 2:
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683-2776
Mailing Address - Country:US
Mailing Address - Phone:787-892-6930
Mailing Address - Fax:787-892-6930
Practice Address - Street 1:84 DR. VEVE
Practice Address - Street 2:STE1
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683-4112
Practice Address - Country:US
Practice Address - Phone:787-892-6930
Practice Address - Fax:787-892-6930
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR23821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice