Organization
ROBERT SANTIAGO, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANNE SANTIAGO (CO-OWNER)
(614) 431-8869
Entity
Organization
Contact information
Practice address
396 PORTLAND WAY N, GALION, OH 44833-1115
(419) 462-5543
(419) 462-2058
Mailing address
247 GLEN VILLAGE CT, POWELL, OH 43065-9677
(614) 431-8869
(614) 431-9910
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
35-05-7517
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SSN
—
05
—
0759362
—
OH
01
—
107669
WORKER'S COMP. EMPL. RISK
OH
01
—
1720121213
INDIVIDUAL (TYPE 1) NPI
—
01
—
35-05-7517
OHIO MEDICAL LICENSE
OH
Enumeration date
02/19/2008
Last updated
03/07/2023
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