Individual
DR. RUBEN R SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3078 DYER BLVD, KISSIMMEE, FL 34741-7839
(407) 518-1097
(407) 518-1476
Mailing address
3078 DYER BLVD, KISSIMMEE, FL 34741-7839
(407) 518-1097
(407) 518-1476
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME87512
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0412152
CIGNA
FL
05
—
270204500
—
FL
01
—
37917
BCBS
FL
Enumeration date
08/11/2006
Last updated
08/06/2020
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