Provider Demographics
NPI:1699512491
Name:SANTIAGO ARRIBAS, HAZEL Y (RN)
Entity type:Individual
Prefix:
First Name:HAZEL
Middle Name:Y
Last Name:SANTIAGO ARRIBAS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:HAZEL
Other - Middle Name:Y
Other - Last Name:SANTIAGO ARRIBAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:URB VALLE ESCONDIDO
Mailing Address - Street 2:CALLE PALMA REAL 201
Mailing Address - City:COAMO
Mailing Address - State:PR
Mailing Address - Zip Code:00769-9433
Mailing Address - Country:US
Mailing Address - Phone:787-415-9765
Mailing Address - Fax:
Practice Address - Street 1:URB VALLE ESCONDIDO
Practice Address - Street 2:CALLE PALMA REAL 201
Practice Address - City:COAMO
Practice Address - State:PR
Practice Address - Zip Code:00769-9433
Practice Address - Country:US
Practice Address - Phone:787-415-9765
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-10
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR93542163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty