# MR. EDWIN SANTIAGO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1912159112
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | TC AMB 331 | PR | Yes |

## Other

- **Enumeration date:** 10/21/2008
- **Last updated:** 10/21/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 50480 | PMC | PR |
| 01 | — | 56825 | TRIPLE S | PR |
| 01 | — | 660647056 | SALUD DORADA MEDICARE | PR |
| 01 | — | 660647056 | MAPFRE MEDICARE | — |
| 01 | — | 6932 | AMERICAN HEALTH MEDICARE | PR |
| 01 | — | 7670052 | HUMANA HEALTH PLANS OF PR | PR |
| 01 | — | 840464 | MMM HEALTH CARE | PR |
| 01 | — | 9004432 | ACAA | PR |