MEDICARE: MISS BELINDA ARISTUD-SANTIAGO CRNA, MSN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	074654	PR
2	367500000X	Certified Registered Nurse Anesthetist	1311	PR

General Provider Information

NPI Number	:	1508004417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS BELINDA ARISTUD-SANTIAGO CRNA, MSN

Provider Business Mailing Address
First Line	:	PO BOX 286
Second Line	:
City	:	TRUJILLO ALTO
State	:	PR
Zip	:	00977-0286
Country	:	US
Telephone Number	:	787-310-6870
Fax Number	:

Provider Business Practice Location Address
First Line	:	B & C ANESTHESIA- PAVIA HOSPITAL
Second Line	:	CALLE PROFESOR AUGUSTO RODRIGUEZ #1462
City	:	SANTURCE
State	:	PR
Zip	:	00910-0000
Country	:	US
Telephone Number	:	787-641-1616
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2009
Last Update Date	:	01/30/2009

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