Healthcare Provider Details

I. General information

NPI: 1700234101
Provider Name (Legal Business Name): JUAN EDGARDO SANTIAGO-TORRES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JUAN EDGARDO SANTIAGO MD

II. Dates (important events)

Enumeration Date: 05/26/2016
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4605 SAWMILL RD
UPPER ARLINGTON OH
43220-2246
US

IV. Provider business mailing address

340 POLARIS PKWY
WESTERVILLE OH
43082-7971
US

V. Phone/Fax

Practice location:
  • Phone: 614-827-8700
  • Fax: 614-827-8701
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD480824
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number35.136898
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: