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NPI Code Detail

MEDICARE: JOEL SANTIAGO O.D.

MEDICARE:   JOEL  SANTIAGO  O.D.
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
1152W00000XOptometrist595PR

General Provider Information

NPI Number : 1700921814
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOEL SANTIAGO O.D.
Provider Business Mailing Address
First Line : PO BOX 1006
Second Line :
City : VILLALBA
State : PR
Zip : 00766-1006
Country : US
Telephone Number : 787-368-8843
Fax Number :
Provider Business Practice Location Address
First Line : 1 CALLE CENTRAL # 85
Second Line :
City : PONCE
State : PR
Zip : 00780-2108
Country : US
Telephone Number : 787-848-2394
Fax Number : 787-848-2394
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2007
Last Update Date : 12/02/2025

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Directions to “ JOEL SANTIAGO O.D.” Practice Location

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