Provider Demographics
NPI:1972079994
Name:SANTIAGO, YASMIN (RN)
Entity Type:Individual
Prefix:
First Name:YASMIN
Middle Name:
Last Name:SANTIAGO
Suffix:
Gender:F
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:HC 1 BOX 6458
Mailing Address - Street 2:
Mailing Address - City:SANTA ISABEL
Mailing Address - State:PR
Mailing Address - Zip Code:00757-9779
Mailing Address - Country:US
Mailing Address - Phone:787-639-1114
Mailing Address - Fax:
Practice Address - Street 1:HOSPITAL INSPIRA BEHAVIORAL
Practice Address - Street 2:CALLE GUADALUPE 184
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00730-3561
Practice Address - Country:US
Practice Address - Phone:787-704-0705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-17
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR33848164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse