Provider Demographics
NPI:1932662319
Name:SANTINGO MARTINEZ, DAMARIS (MA RN)
Entity Type:Individual
Prefix:MS
First Name:DAMARIS
Middle Name:
Last Name:SANTINGO MARTINEZ
Suffix:
Gender:F
Credentials:MA RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 MAGNOLIA AVE
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-3126
Mailing Address - Country:US
Mailing Address - Phone:413-535-7785
Mailing Address - Fax:413-532-8581
Practice Address - Street 1:46 MAGNOLIA AVE
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040
Practice Address - Country:US
Practice Address - Phone:413-535-7785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-11
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAR.N.231219163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse