Individual
BRYAN A SANTIAGO DIAZ SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2.8 CARR 189, N/A, CAGUAS, PR 00725-6163
(787) 981-0804
Mailing address
Q1 CALLE SANTA LUCIA, SANTA ELVIRA, CAGUAS, PR 00725-3440
(787) 981-0804
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19432
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/28/2016
Last updated
12/30/2024
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