Organization
ADVANCED BREAST CLINICS, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS A SANTIAGO SANCHEZ MD (PRESIDENT)
(787) 784-5706
Entity
Organization
Contact information
Practice address
AVENIDA DOS PALMAS #1000 LEVITTOWN, TOA BAJA, PR 00949
(787) 784-5706
(787) 795-0952
Mailing address
PO BOX 633, DORADO, PR 00646
(787) 784-5706
(787) 795-0952
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
10298
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588646681
NPI
PR
Enumeration date
05/24/2006
Last updated
02/27/2014
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