Healthcare Provider Details

I. General information

NPI: 1518804103
Provider Name (Legal Business Name): DAYNA MARIE SANTIAGO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1240 CALLE SAN FRANCISCO DE ASIS
COTO LAUREL PR
00780-2503
US

IV. Provider business mailing address

1240 CALLE SAN FRANCISCO DE ASIS
COTO LAUREL PR
00780-2503
US

V. Phone/Fax

Practice location:
  • Phone: 787-595-4853
  • Fax:
Mailing address:
  • Phone: 787-595-4853
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number26887
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: