Individual
JUAN CARLOS SANTIAGO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
BO MONACILLOS CENTRO MEDICO DE PUERTO RICO, SAN JUAN, PR 00935-0001
(787) 754-0101
Mailing address
MONACILLOS CARR 22 CENTRO MEDICO DE PUERTO RICO, SAN JUAN, PR 00935-0001
(787) 754-0101
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22646
PR
390200000X
Student in an Organized Health Care Education/Training Program
15125I
PR
Other
Enumeration date
06/20/2018
Last updated
02/23/2023
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