Healthcare Provider Details

I. General information

NPI: 1851349369
Provider Name (Legal Business Name): MANUEL SANTIAGO CUMMINGS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 07/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HOSPITAL DAMAS
PONCE PR
00733
US

IV. Provider business mailing address

8 CALLE CEIBA MANSIONES DEL SUR
COTO LAUREL PR
00780-2075
US

V. Phone/Fax

Practice location:
  • Phone: 787-840-1445
  • Fax: 787-284-8045
Mailing address:
  • Phone: 787-848-6567
  • Fax: 787-284-8045

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number9957
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: