Organization
SE PRIMARY CARE SERVICES CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEOPOLDO SANTIAGO SANTIAGO MD (PRESIDENT)
(787) 677-1566
Entity
Organization
Contact information
Practice address
36 CALLE BARCELO, MAUNABO, PR 00707
(787) 709-5465
(787) 861-4511
Mailing address
PO BOX 1256, MAUNABO, PR 00707-1256
(787) 709-5465
(787) 861-4511
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
15017
PR
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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