Healthcare Provider Details

I. General information

NPI: 1932209236
Provider Name (Legal Business Name): SANTIAGO ROIG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 03/18/2021
Certification Date: 03/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 JOHNSON RD
STEUBENVILLE OH
43952-2300
US

IV. Provider business mailing address

PO BOX 2350
WEIRTON WV
26062-1550
US

V. Phone/Fax

Practice location:
  • Phone: 402-648-0677
  • Fax:
Mailing address:
  • Phone: 630-734-0200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number35.057475
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: