Individual
DR. EDGARDO LUIS SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CARR 172 KM 6.1 SECTOR LA SIERRA, BO.CANABONCITO, CAGUAS, PR 00725
(787) 745-6113
Mailing address
PO BOX 1876, CIDRA, PR 00739-1876
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
14881
PR
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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