Individual
SANTIAGO EMANUEL QUILES GUZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41 CALLE CRISTOBAL COLON, YABUCOA, PR 00767-3324
(939) 458-0939
Mailing address
AVE JUPITER 86C, BDA SANDIN, VEGA BAJA, PR 00694
(787) 366-7445
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
21943
PR
390200000X
Student in an Organized Health Care Education/Training Program
33129-R
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038041300
—
PR
01
—
66-0964255
IRS
PR
Enumeration date
07/12/2017
Last updated
08/03/2023
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