Healthcare Provider Details

I. General information

NPI: 1578446894
Provider Name (Legal Business Name): JOSARANIE NIEVES SANTANA DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2025
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 100
WESTFORD MA
01886-0004
US

IV. Provider business mailing address

PO BOX 100
WESTFORD MA
01886-0004
US

V. Phone/Fax

Practice location:
  • Phone: 787-645-5354
  • Fax:
Mailing address:
  • Phone: 787-645-5354
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN10000937
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: