Colon-Santiago, Maribel

Colon-Santiago, Maribel is an individual health care provider with primary practice located at 1515 Ne Lawrie Tatum Rd , Lawton OK 73507-3002. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Colon-Santiago, Maribel can be contacted via phone (580) 354-5270.

Contact Information

Primary practice address
1515 Ne Lawrie Tatum Rd Lawton OK 73507-3002
Fax: (580) 354-5289
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 10773 Puerto Rico

Profile Details

NPI number 1942312103
LBN Legal business name Colon-Santiago, Maribel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Oct 27th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942312103 NPPES
Puerto Rico Other 83073 MEDICARE PROVIDER NUMBER

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