# EDWIN SANTIAGO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SANTIS AMBULACE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992746424
- **Authorized official:** MR. EDWIN SANTIAGO (ADMINISTRADOR)
- **Authorized official phone:** (787) 733-0837

## Contact information

- **Practice address:** CARR 183 KM 18 HM 3, BO. MONTONES, LAS PIEDRAS, PR 00771
- **Practice address phone:** (787) 733-0837
- **Practice address fax:** (787) 733-0837
- **Mailing address:** PO BOX 1808, LAS PIEDRAS, PR 00771-1808
- **Mailing address phone:** (787) 733-0837
- **Mailing address fax:** (787) 733-0837

## Taxonomy

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

## Other

- **Enumeration date:** 06/08/2006
- **Last updated:** 02/16/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 50480 | PREFERED MEDICARE CHOICE | PR |
| 01 | — | 7670052 | HUMANA HEALTH PLANS OF PR | PR |
| 01 | — | 840464 | MEDICARE Y MUCHO MAS | PR |
| 01 | — | 9004432 | ACAA | PR |