Provider Demographics
NPI:1356726350
Name:VIGILIA-ABRENICA, PATRICE JOVITA SANTIAGO (MD)
Entity type:Individual
Prefix:
First Name:PATRICE JOVITA
Middle Name:SANTIAGO
Last Name:VIGILIA-ABRENICA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 100296
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-0296
Mailing Address - Country:US
Mailing Address - Phone:352-627-9350
Mailing Address - Fax:352-273-9054
Practice Address - Street 1:25827 SE HIGHWAY 19
Practice Address - Street 2:
Practice Address - City:OLD TOWN
Practice Address - State:FL
Practice Address - Zip Code:32680-3997
Practice Address - Country:US
Practice Address - Phone:352-542-0068
Practice Address - Fax:352-542-1843
Is Sole Proprietor?:No
Enumeration Date:2015-07-21
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1465212080P0210X, 208000000X
TXR6930208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0210XAllopathic & Osteopathic PhysiciansPediatricsPediatric Nephrology