Healthcare Provider Details

I. General information

NPI: 1154249449
Provider Name (Legal Business Name): JHESINET SANTIAGO RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13151 CASEY CT
BEAUMONT CA
92223-8109
US

IV. Provider business mailing address

13151 CASEY CT
BEAUMONT CA
92223-8109
US

V. Phone/Fax

Practice location:
  • Phone: 787-464-4395
  • Fax:
Mailing address:
  • Phone: 787-464-4395
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95026037
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: