Provider Demographics
NPI:1679562912
Name:SANTINI-OLIVIERI, SONIA M (MD)
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:M
Last Name:SANTINI-OLIVIERI
Suffix:
Gender:F
Credentials:MD
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 1918
Mailing Address - Street 2:6 WILLIE ROSARIO STREET
Mailing Address - City:COAMO
Mailing Address - State:PR
Mailing Address - Zip Code:00769-1918
Mailing Address - Country:US
Mailing Address - Phone:787-825-1056
Mailing Address - Fax:787-825-1056
Practice Address - Street 1:6 CALLE WILLIE ROSARIO
Practice Address - Street 2:
Practice Address - City:COAMO
Practice Address - State:PR
Practice Address - Zip Code:00769-3250
Practice Address - Country:US
Practice Address - Phone:787-825-1056
Practice Address - Fax:787-825-1056
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2416208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
0970OtherINTERNATIONAL MEDICAL CAR
2416OtherMAPFRE
2416OtherTRICARE
2416OtherCIGNA
06400017OtherHUMANA INS
PR91816SAOtherSEGUROS DE SERVICIOS DE S
4102416OtherUNION INDEPENDIENTE AUTEN
M00134OtherSALUD HOSPITAL GENERAL ME
062641OtherCRUZ AZUL DE PR
2416OtherCOSVIMED
2416OtherTRICARE
M00134OtherSALUD HOSPITAL GENERAL ME