# MARIO SANTAELLA MEDICINA INTERNA CSP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dr. Mario Santaella-Medicina Interna, C.S.P.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285885111
- **Authorized official:** DR. MARIO SANTAELLA MALDONADO M.D. (PRESIDENT)
- **Authorized official phone:** (787) 873-4345

## Contact information

- **Practice address:** 17 CALLE BALDORIOTY, SABANA GRANDE, PR 00637-0000
- **Practice address phone:** (787) 873-4345
- **Practice address fax:** (787) 873-1091
- **Mailing address:** PO BOX 1327, SAN GERMAN, PR 00683-1327
- **Mailing address phone:** (787) 873-4345
- **Mailing address fax:** (787) 873-1091

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/09/2008
- **Last updated:** 12/17/2012