Santiago Vergara, Diana Liliana

Santiago Vergara, Diana Liliana is an individual health care provider with primary practice located at 5887 Glenridge Dr Ste 230 , Sandy Springs GA 30328-9929. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Santiago Vergara, Diana Liliana can be contacted via phone (305) 785-8573.

Contact Information

Primary practice address
5887 Glenridge Dr Ste 230 Sandy Springs GA 30328-9929
Phone: (305) 785-8573
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME102437 Florida

Profile Details

NPI number 1588872287
LBN Legal business name Santiago Vergara, Diana Liliana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Apr 23rd, 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 1588872287 NPPES
Florida Other DK715Z MEDICARE PTAN
Florida MEDICAID 002703000 MEDICARE PTAN

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