Healthcare Provider Details

I. General information

NPI: 1710814090
Provider Name (Legal Business Name): ASR MEDICAL & MANAGERIAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

COND ARMONIA DE LOS PRADOS APT 28203
CAGUAS PR
00727
US

IV. Provider business mailing address

COND ARMONIA DE LOS PRADOS APT 28203
CAGUAS PR
00727
US

V. Phone/Fax

Practice location:
  • Phone: 787-439-6873
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: ANGEL L SANTIAGO
Title or Position: PRESIDENT
Credential: MD
Phone: 787-439-6873