Individual
JOSE D SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
HOSPITAL SAN LUCAS, #CARR 14, PONCE, PR 00716
(787) 842-4883
(787) 842-4883
Mailing address
609 AVE TITO CASTRO, STE 102, PONCE, PR 00716-2232
(787) 842-4883
(787) 842-4883
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
8479
PR
Other
Enumeration date
11/18/2005
Last updated
07/29/2014
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