Provider Demographics
NPI:1497502223
Name:SANTANA-JIRAU, WILBERT (BSN-RN)
Entity type:Individual
Prefix:
First Name:WILBERT
Middle Name:
Last Name:SANTANA-JIRAU
Suffix:
Gender:M
Credentials:BSN-RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 3 BOX 9109
Mailing Address - Street 2:
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-9503
Mailing Address - Country:US
Mailing Address - Phone:787-388-4519
Mailing Address - Fax:
Practice Address - Street 1:HC 3 BOX 9109
Practice Address - Street 2:
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646-9503
Practice Address - Country:US
Practice Address - Phone:787-388-4519
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-30
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR96785163WH0200X, 163WI0500X, 163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy