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Individual

MR. GERARDO LUIS SANTIAGO-ALICEA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
550 CALLE SERGIO CUEVAS BUSTAMENTE, AVE DOMENECH, SAN JUAN, PR 00918
(787) 758-8383
(787) 763-9758
Mailing address
100 CALLE ALCALA APT 1702, SAN JUAN, PR 00921-3928
(787) 519-6526

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
19754
PR

Other

Enumeration date
06/23/2015
Last updated
08/09/2017
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