Provider Demographics
NPI:1528145521
Name:SANTIAGO, DAISY CASTELLANO (RN)
Entity type:Individual
Prefix:MISS
First Name:DAISY
Middle Name:CASTELLANO
Last Name:SANTIAGO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:DAISY
Other - Middle Name:CASTELLANO
Other - Last Name:SANTIAGO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:MONTECARLO #252 ,JARDINES DE MONACO 111
Mailing Address - Street 2:P.O.BOX 488
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674
Mailing Address - Country:US
Mailing Address - Phone:787-884-5946
Mailing Address - Fax:787-884-4461
Practice Address - Street 1:CALLE A,CASA # 7.URB. VILLA MARIA
Practice Address - Street 2:
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-884-5946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1584666163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse