Individual
UBALDO G SANTIAGO BUONO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1304 WILSON STREET, COND EL VIGIA APT 8 S, SAN JUAN, PR 00907-2243
(787) 536-2033
(787) 722-2374
Mailing address
1304 CALLE WILSON APT 8S, SAN JUAN, PR 00907-2243
(787) 722-2371
(787) 722-2374
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
13571
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020882
MEDICARE PTAN
PR
01
—
7000006137
REMITANCE NO
PR
Enumeration date
07/18/2005
Last updated
06/10/2024
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