Gonzalez Santiago, Tania Marie

Gonzalez Santiago, Tania Marie is an individual health care provider with primary practice located at 201 Ave Gautier Benitez Consolidated Medical Plaza (Office 405A), Caguas PR 00725. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatopathology is her primary health care specialty. Gonzalez Santiago, Tania Marie can be contacted via phone (939) 355-0304.

Contact Information

Primary practice address
201 Ave Gautier Benitez Consolidated Medical Plaza (Office 405A) Caguas PR 00725
Phone: (939) 355-0304
Fax: (939) 355-0306
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 22836 Puerto Rico
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 105584 Minnesota
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 54430 Minnesota
Allopathic & Osteopathic Physicians / Dermatology 207N00000X LT15015 North Dakota

Profile Details

NPI number 1952539223
LBN Legal business name Gonzalez Santiago, Tania Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2009
Last updated Jun 27th, 2024 - about 5 months 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 1952539223 NPPES
Florida MEDICAID 015047800
Florida MEDICAID ENROLLED
Florida MEDICAID ENROLLED
Florida MEDICAID 039370300

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