Individual
MR. EDWIN SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CARR 183 KM 18.5, MONTONES 1, LAS PIEDRAS, PR 00771
(787) 733-0837
(787) 733-0837
Mailing address
PO BOX 1808, LAS PIEDRAS, PR 00771-1808
(787) 733-0837
(787) 733-0837
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
TC AMB 331
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50480
PMC
PR
01
—
56825
TRIPLE S
PR
01
—
660647056
HUMANA GGOLD PLUS
PR
01
—
660647056
MAPFRE MEDICARE
—
01
—
6932
AMERICAN HEALTH MEDICARE
PR
01
—
7670052
HUMANA HEALTH PLANS OF PR
PR
01
—
840464
MMM HEALTH CARE
PR
01
—
9004432
ACAA
PR
Enumeration date
10/21/2008
Last updated
10/21/2008
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