Individual
JUAN EUGENIO SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6586 HYPOLUXO RD STE 334, LAKE WORTH, FL 33467-7678
(877) 412-7272
Mailing address
6586 HYPOLUXO RD STE 334, LAKE WORTH, FL 33467-7678
(877) 412-7272
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME97800
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME9780
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7592578
AETNA
FL
01
—
90250
BCBS
FL
Enumeration date
10/07/2005
Last updated
04/08/2021
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