Colon-Santiago, Maribel
Colon-Santiago, Maribel is an individual health care provider with primary practice located at 1515 Ne Lawrie Tatum Rd , Lawton OK 73507-3002. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Colon-Santiago, Maribel can be contacted via phone (580) 354-5270.Contact Information
Primary practice address
1515 Ne Lawrie Tatum Rd
Lawton OK 73507-3002
Phone: (580) 354-5270
Fax: (580) 354-5289
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 10773 | Puerto Rico |
Profile Details
| NPI number | 1942312103 |
|---|---|
| LBN Legal business name | Colon-Santiago, Maribel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Oct 27th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942312103 | NPPES |
| Puerto Rico | Other | 83073 | MEDICARE PROVIDER NUMBER |
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