Individual
JULIO M SANTIAGO VIGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
HOSPITAL RYDER MEMORIAL INC, HUMACAO, PR 00792
(787) 852-0768
(787) 852-8248
Mailing address
PO BOX 1832, LAS PIEDRAS, PR 00771-1832
(787) 852-0768
(787) 852-8248
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3100
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3905
PMC
PR
01
—
996776
MEDICARE Y MUCHOMAS
PR
Enumeration date
10/17/2006
Last updated
07/08/2007
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