Provider Demographics
NPI:1144370628
Name:SANTANA, ANA JULIA (MT)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:JULIA
Last Name:SANTANA
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PMB 165
Mailing Address - Street 2:PO BOX 2400
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00951-2400
Mailing Address - Country:US
Mailing Address - Phone:787-380-9051
Mailing Address - Fax:787-797-2311
Practice Address - Street 1:349 CALLE MENDEZ VIGO
Practice Address - Street 2:SUITE 10
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646-4917
Practice Address - Country:US
Practice Address - Phone:787-278-1576
Practice Address - Fax:787-278-0936
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR5800246QM0706X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist