Provider Demographics
NPI:1952001844
Name:VELEZ SANTIAGO, ARIANA NICOLE
Entity Type:Individual
Prefix:
First Name:ARIANA
Middle Name:NICOLE
Last Name:VELEZ SANTIAGO
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 1:340 AVE. FR DE GAUTIER PASEO DEL BOSQUE
Mailing Address - Street 2:APT. 3311
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-506-0156
Mailing Address - Fax:
Practice Address - Street 1:340 AVE. FR DE GAUTIER PASEO DEL BOSQUE
Practice Address - Street 2:APT. 3311
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-506-0156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-08
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program