Individual
DR. BASILIO SANTIAGO PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 CALLE CASIA, SAN JUAN, PR 00921-3200
(787) 641-7582
(787) 641-8369
Mailing address
1668 CALLE SANTA BRIGIDA, SAGRADO CORAZON, SAN JUAN, PR 00926-4223
(787) 210-9787
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
8177
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101047448
LICENSE TO PRACTICE MED
VA
Enumeration date
07/21/2006
Last updated
06/24/2011
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