De Santiago, Berenice

De Santiago, Berenice is an individual health care provider with primary practice located at 5312 Rio Bravo Dr Ste 10 , Santa Teresa NM 88008-9210. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. De Santiago, Berenice can be contacted via phone (915) 300-3992.

Contact Information

Primary practice address
5312 Rio Bravo Dr Ste 10 Santa Teresa NM 88008-9210
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1679103535
LBN Legal business name De Santiago, Berenice
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2020
Last updated Nov 8th, 2023 - about last year

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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