Provider Demographics
NPI:1336631027
Name:ALOMAR-SANTIAGO, DEMELIZ (MSW)
Entity Type:Individual
Prefix:
First Name:DEMELIZ
Middle Name:
Last Name:ALOMAR-SANTIAGO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 CELEBRATION BLVD APT 303
Mailing Address - Street 2:
Mailing Address - City:CELEBRATION
Mailing Address - State:FL
Mailing Address - Zip Code:34747-4954
Mailing Address - Country:US
Mailing Address - Phone:787-929-2442
Mailing Address - Fax:
Practice Address - Street 1:3800 5TH ST
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34769-2024
Practice Address - Country:US
Practice Address - Phone:407-846-0068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-30
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11544101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health