Individual
DR. JOSE M. SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
J1033
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013666-03
—
TX
01
—
1013666-05
CSHCN
TX
01
—
8H8618
BLUE SHIELD
TX
01
—
P00034509
RR/MEDICARE
TX
Enumeration date
04/03/2006
Last updated
10/14/2020
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