Individual
DR. RAFAEL LUIS SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
LOS ALMENDROS, 1404 GERMAN RIECKHOFF, PONCE, PR 00716
(787) 848-8024
Mailing address
LOS ALMENDROS, 1404 GERMAN RIECKHOFF ST., PONCE, PR 00716
(787) 848-8024
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5884
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
526268
DRIVERS LICENSE
PR
Enumeration date
10/31/2006
Last updated
07/08/2007
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