Provider Demographics
NPI:1558008292
Name:SANTIAGO, YEHIMARIE (DC)
Entity Type:Individual
Prefix:
First Name:YEHIMARIE
Middle Name:
Last Name:SANTIAGO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 E SUNSET RD STE B400
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79922-1125
Mailing Address - Country:US
Mailing Address - Phone:915-300-0056
Mailing Address - Fax:
Practice Address - Street 1:145 E SUNSET RD STE B400
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79922-1125
Practice Address - Country:US
Practice Address - Phone:915-300-0056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-15
Last Update Date:2022-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14899111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor