Healthcare Provider Details

I. General information

NPI: 1053256057
Provider Name (Legal Business Name): ROSE MARIE SANTIAGO DEL TORO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

282 CALLE ALFREDO QUINTANA
MAYAGUEZ PR
00680-5232
US

IV. Provider business mailing address

282 CALLE ALFREDO QUINTANA
MAYAGUEZ PR
00680-5232
US

V. Phone/Fax

Practice location:
  • Phone: 939-314-9013
  • Fax:
Mailing address:
  • Phone: 939-314-9013
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number4202
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: