Individual
SANTIAGO JOAQUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
SA57 PLAZA 3, MANSION DEL SUR, TOA BAJA, PR 00949-4850
(787) 784-5653
Mailing address
MANSION DEL SUR, PLAZA 3 SA 57, LEVITTOWN, PR 00949
(787) 784-5653
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
9030
PR
Other
Enumeration date
10/03/2005
Last updated
06/27/2013
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