Provider Demographics
NPI:1881109585
Name:ZAYAS SANTIAGO, GEISLA (MD)
Entity type:Individual
Prefix:
First Name:GEISLA
Middle Name:
Last Name:ZAYAS SANTIAGO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:C2 CALLE 3
Mailing Address - Street 2:URB VILLA CRISTINA
Mailing Address - City:COAMO
Mailing Address - State:PR
Mailing Address - Zip Code:00769
Mailing Address - Country:US
Mailing Address - Phone:787-988-9979
Mailing Address - Fax:
Practice Address - Street 1:3507 JAIME ZAPATA MEMORIAL HWY STE 5
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78043-4770
Practice Address - Country:US
Practice Address - Phone:956-726-9252
Practice Address - Fax:956-753-3442
Is Sole Proprietor?:No
Enumeration Date:2017-12-05
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19798208D00000X
PR14132-I208D00000X
TXT8697208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice