Individual
DR. JOSE ANGEL SANTIAGO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 HOSPITAL DR, SUITE 4, OPELOUSAS, LA 70570-6552
(337) 948-7090
Mailing address
1200 HOSPITAL DR, SUITE 4, OPELOUSAS, LA 70570-6552
(337) 948-7090
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
024044
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024044
STATE MEDICAL LICENSE
LA
05
—
1497843
—
LA
Enumeration date
10/19/2006
Last updated
07/08/2007
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