MEDICARE: DR. CARLOS ALBERTO SANTIAGO SANCHEZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	10298	PR
2	2086X0206X	Surgical Oncology Physician	10298	PR

General Provider Information

NPI Number	:	1588646681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARLOS ALBERTO SANTIAGO SANCHEZ MD

Provider Business Mailing Address
First Line	:	PO BOX 633
Second Line	:
City	:	DORADO
State	:	PR
Zip	:	00646-0633
Country	:	US
Telephone Number	:	787-784-5706
Fax Number	:	787-795-0952

Provider Business Practice Location Address
First Line	:	1000 AVE DOS PALMAS
Second Line	:
City	:	TOA BAJA
State	:	PR
Zip	:	00949-4101
Country	:	US
Telephone Number	:	787-787-5706
Fax Number	:	787-795-0952

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2005
Last Update Date	:	12/20/2012

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