Individual
MR. JOSE A SANTIAGO SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
602 CALLE JOSE V RODRIGUEZ, PENUELAS, PR 00624-1807
(787) 836-3288
(866) 626-2798
Mailing address
PO BOX 10730, PONCE, PR 00732-0730
(787) 836-3288
(866) 626-2798
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8333
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE665Z
MEDICARE
PR
Enumeration date
04/27/2006
Last updated
08/10/2022
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