Provider Demographics
NPI:1558034355
Name:SANTIAGO, DAISY (MSWC)
Entity Type:Individual
Prefix:MRS
First Name:DAISY
Middle Name:
Last Name:SANTIAGO
Suffix:
Gender:F
Credentials:MSWC
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 5561
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-5561
Mailing Address - Country:US
Mailing Address - Phone:939-278-8417
Mailing Address - Fax:
Practice Address - Street 1:URB. VILLAS DE CASTRO
Practice Address - Street 2:GARDENS APARTMENTS EDIFICIO B APT 3B
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727
Practice Address - Country:US
Practice Address - Phone:939-278-8417
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-28
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR210571041C0700X
PR1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty