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Individual
DR. LUIS MIGUEL SANTIAGO
Active
Individual
DR. LUIS MIGUEL SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME148375
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME148375
MEDICAL LICENSE
FL
Enumeration date
11/15/2016
Last updated
06/23/2021
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