Provider Demographics
NPI:1790014975
Name:SANTIAGO, FRANCISCO J (RN)
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:J
Last Name:SANTIAGO
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6232 SW 8TH PL
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-3637
Mailing Address - Country:US
Mailing Address - Phone:352-286-0907
Mailing Address - Fax:
Practice Address - Street 1:6232 SW 8TH PL
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-3637
Practice Address - Country:US
Practice Address - Phone:352-286-0907
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-16
Last Update Date:2009-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR21674163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse