Provider Demographics
NPI:1912423948
Name:SANTOS CARATTINI, DELIRIS SR (MD)
Entity Type:Individual
Prefix:MRS
First Name:DELIRIS
Middle Name:
Last Name:SANTOS CARATTINI
Suffix:SR
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:EE22 CALLE CAGUAX
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-7761
Mailing Address - Country:US
Mailing Address - Phone:787-221-1321
Mailing Address - Fax:
Practice Address - Street 1:EE22 CALLE CAGUAX
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727-7761
Practice Address - Country:US
Practice Address - Phone:787-221-1321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTFC-III-07-39-8245101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4412933Medicaid