Santiago Gonzalez, Marisel

Santiago Gonzalez, Marisel is an sole proprietor health care provider with primary practice located at 21444 Carmean Way , Georgetown DE 19947-4572. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Santiago Gonzalez, Marisel can be contacted via phone (302) 855-2020.

Contact Information

Primary practice address
21444 Carmean Way Georgetown DE 19947-4572
Phone: (302) 855-2020
Fax: (302) 855-2025
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 10609 Puerto Rico
Allopathic & Osteopathic Physicians / Pediatrics 208000000X C1-0009135 Delaware

Profile Details

NPI number 1013019892
LBN Legal business name Santiago Gonzalez, Marisel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2006
Last updated Aug 19th, 2022 - about 3 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 1013019892 NPPES
Delaware MEDICAID 200111611

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