Healthcare Provider Details

I. General information

NPI: 1861723751
Provider Name (Legal Business Name): MV SANTIAGO MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2010
Last Update Date: 01/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BRGY DE OCAMPO
TRECE MARTIRES CITY CAVITE
063
PH

IV. Provider business mailing address

BRGY DE OCAMPO
TRECE MARTIRES CITY PHILIPPINES
063
PH

V. Phone/Fax

Practice location:
  • Phone: 63-419-1877
  • Fax: 63-419-1866
Mailing address:
  • Phone: 63-419-1877
  • Fax: 63-419-1866

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number282E00000X
License Number State

VIII. Authorized Official

Name: DR. MANUEL VALENZUELA SANTIAGO
Title or Position: CEO/PRESIDENT
Credential: M.D
Phone: 63-419-1877