Individual ProviderLisa SantiagoRegistered NurseNursing Service ProvidersPractice Address454 Palmer Road, Yonkers, NY 10701(914) 629-2033PECOS EnrollmentBased on the most recent information from CMS, provider Lisa Santiago does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1538420070Provider TypeIndividualFull NameSantiago, LisaCredentialRNGenderFemaleSole ProprietorYesEnumeration Date5/31/2012Last Updated5/31/2012Contact InformationPractice LocationPractice Address454 Palmer Road, Yonkers, NY 10701Phone(914) 629-2033FaxUnlisted FaxMailing LocationMailing Address454 Palmer Road, Yonkers, NY 10701Phone(914) 629-2033FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense633638New York