Individual
DR. DWIGHT M SANTIAGO PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
29 CALLE WASHINGTON, ASHFORD MEDICAL CENTER SUITE 306, SAN JUAN, PR 00907-1510
(787) 722-5513
(787) 723-8664
Mailing address
29 CALLE WASHINGTON, ASHFORD MEDICAL CENTER SUITE 306, SAN JUAN, PR 00907-1510
(787) 722-5513
(787) 723-8664
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
4528
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
612057300
OFFICE OF WORKERS COMPENSATION PROGRAM
KY
Enumeration date
05/15/2006
Last updated
01/15/2009
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