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Individual

DR. CARLOS MANUEL SANTIAGO SR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
ST SARGENTO HERNANDEZ CARRION J6, URBANIZACION ATENAS, MANATI, PR 00674
(787) 854-3452
(787) 884-0137
Mailing address
PO BOX 841, MANATI, PR 00674-0841
(787) 854-3452
(787) 884-0137

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5203
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0205508
ACAA
01
066202
LA CRUZ AZUL DE PR
PR
01
1691
IMC
PR
01
7010064
HUMANA INSURANCE
PR
01
PE1490
PALIC
PR
01
SA23970
TRIPLE-S
PR
Enumeration date
01/30/2006
Last updated
07/08/2007
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