Healthcare Provider Details

I. General information

NPI: 1538077292
Provider Name (Legal Business Name): CLAUDIA ISABEL SANTIAGO MUNIZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

997 CALLE SAN ROBERTO
SAN JUAN PR
00926-2759
US

IV. Provider business mailing address

VIILA CLEMENTINA CALLE BILBAO J-6
GUAYNABO PR
00969
US

V. Phone/Fax

Practice location:
  • Phone: 787-773-6501
  • Fax:
Mailing address:
  • Phone: 787-593-0383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number3765
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: