Provider Demographics
NPI:1265273726
Name:VEGA SANTANA, DENNISA VERNISSE
Entity type:Individual
Prefix:
First Name:DENNISA
Middle Name:VERNISSE
Last Name:VEGA SANTANA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB ALTOS DE FLORIDA 5114
Mailing Address - Street 2:FF-5 CALLE RUTH FERNANDEZ
Mailing Address - City:FLORIDA
Mailing Address - State:PR
Mailing Address - Zip Code:00650
Mailing Address - Country:US
Mailing Address - Phone:787-445-9352
Mailing Address - Fax:787-884-4949
Practice Address - Street 1:URB ALTOS DE FLORIDA 5114
Practice Address - Street 2:FF-5 CALLE RUTH FERNANDEZ
Practice Address - City:FLORIDA
Practice Address - State:PR
Practice Address - Zip Code:00650
Practice Address - Country:US
Practice Address - Phone:787-445-9352
Practice Address - Fax:787-884-4949
Is Sole Proprietor?:No
Enumeration Date:2024-06-06
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1470156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician