Provider Demographics
NPI:1962618272
Name:SANTIAGO, CARMEN FRANCISCA (PHD)
Entity type:Individual
Prefix:MISS
First Name:CARMEN
Middle Name:FRANCISCA
Last Name:SANTIAGO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1 CALLE VILLEGAS, APDO.2101,
Mailing Address - Street 2:GUAYNABO, PUERTO RICO
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00971-9202
Mailing Address - Country:US
Mailing Address - Phone:787-272-6664
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF PUERTO RICO MEDICAL SCIENCES CAMPUS
Practice Address - Street 2:PSYCHIATRIC DEPARTMENT NINTH FLOOR
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936-5067
Practice Address - Country:US
Practice Address - Phone:787-777-3535
Practice Address - Fax:787-764-7004
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR1627103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical