Organization
DR OSVALDO J SANTIAGO PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOLORES D RODRIGUEZ (ADMINISTRATOR)
(787) 259-7077
Entity
Organization
Contact information
Practice address
2606 CALLE MAYOR, PONCE, PR 00717-2074
(787) 259-7077
(787) 259-7026
Mailing address
2606 CALLE MAYOR, PONCE, PR 00717-2074
(787) 259-7077
(787) 259-7026
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
8529
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346212453
INDV NPI
PR
Enumeration date
06/04/2007
Last updated
08/22/2020
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