Active NPIIndividual providerSole proprietor

Mariedali Santiago, DMD

Dentist, Pediatric Dentistry in Fajardo, Puerto Rico

NPI Number1174666903
Practice location
General Valero, 311, Fajardo, PR 00738
Fax
787-863-2441
Last updated
July 8, 2007

Mariedali Santiago is a Dentist, Pediatric Dentistry based in Fajardo, PR. Mariedali Santiago practices in Fajardo, PR and has the professional credentials of DMD. The NPI Number for Mariedali Santiago is 1174666903 and holds a License No. 1875 (PR). The current practice location address for Mariedali Santiago is General Valero, 311, Fajardo, PR 00738 and can be reached out via phone at 787-860-4088 and via fax at 787-863-2441.

Provider Profile Details

NPI Number
1174666903
Provider Name
Mariedali Santiago
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
General Valero, 311, Fajardo, PR 00738
Phone Number
787-860-4088
Fax Number
787-863-2441
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Sole Proprietor
Yes
Provider Enumeration Date
February 14, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
General Valero
311
Fajardo, PR 00738
Zip
00738
Phone Number
787-860-4088
Fax Number
787-863-2441
Fajardo, PR 00738Get directions →

Provider Business Mailing Address Details

Address
Po Box 1144
Fajardo, PR 00738-1144
City
Fajardo
State
PR
Zip
00738-1144
Phone Number
787-860-4088
Fax Number
787-863-2441

License Information

License Number
1875
License State
PR
Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mariedali Santiago, DMD?

The NPI number of Mariedali Santiago, DMD is 1174666903. It was assigned on February 14, 2007 and is currently active in the NPPES registry.

What is the specialty of Mariedali Santiago, DMD?

Mariedali Santiago, DMD is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in PR under license number 1875.

Where does Mariedali Santiago, DMD practice?

The practice location is General Valero, 311, Fajardo, PR 00738. The office can be reached at 787-860-4088 (phone) or 787-863-2441 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174666903 directly on the NPPES registry website.

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