Organization
SANTIAGO BUONO MEDICAL GROUP & HOSPITALIST SERVICES,PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. UBALDO SANTIAGO (PRESIDENTE)
(787) 562-5168
Entity
Organization
Contact information
Practice address
1427 AVE FERNANDEZ JUNCOS, SUITE 204, SAN JUAN, PR 00909-2658
(787) 562-5168
Mailing address
1427 AVE FERNANDEZ JUNCOS, SUITE 204, SAN JUAN, PR 00909-2658
(787) 722-9030
(787) 722-9049
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
301477
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
301477
CERTIFICACION
PR
Enumeration date
10/04/2011
Last updated
10/04/2011
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