Santiago, Roberto

Santiago, Roberto is an sole proprietor health care provider with primary practice located at 5 Arredondo Ave Suite A, St Augustine FL 32080-4573. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Santiago, Roberto can be contacted via phone (904) 824-0990.

Contact Information

Primary practice address
5 Arredondo Ave Suite A St Augustine FL 32080-4573
Phone: (904) 824-0990
Fax: (904) 824-5898
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN13652 Florida

Profile Details

NPI number 1225078207
LBN Legal business name Santiago, Roberto
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2006
Last updated Aug 30th, 2007 - about 18 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 1225078207 NPPES
Florida Other 59-3725848 TAX ID

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