# LUIS G SANTIAGO BALBES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821600230
- **Authorized official:** LUIS G SANTIAGO (PRESIDENT)
- **Authorized official phone:** (787) 432-4569

## Contact information

- **Practice address:** 6 CALLE LA CRUZ, JUANA DIAZ, PR 00795-2430
- **Practice address phone:** (787) 432-4569
- **Mailing address:** URB HACIENDA CONCORDIA, 11077 CALLE GERANIO, SANTA ISABEL, PR 00757
- **Mailing address phone:** (787) 432-4569

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 08/18/2020
- **Last updated:** 09/08/2020