Healthcare Provider Details

I. General information

NPI: 1437074010
Provider Name (Legal Business Name): YANIBET RODRIGUEZ SANTIAGO RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 307 KM 1.6 BO PEDERNALES SECTOR GUANIQUILLA
CABO ROJO PR
00623
US

IV. Provider business mailing address

HC 3 BOX 12526
CABO ROJO PR
00623-9042
US

V. Phone/Fax

Practice location:
  • Phone: 939-312-4940
  • Fax:
Mailing address:
  • Phone: 939-312-4940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number92175
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: