Healthcare Provider Details

I. General information

NPI: 1033037007
Provider Name (Legal Business Name): VSS PR MEDICAL GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE 14L NL275 URB ALTURAS DE RIO GRANDE
RIO GRANDE PR
00745
US

IV. Provider business mailing address

CALLE 14L NL275 URB ALTURAS DE RIO GRANDE
RIO GRANDE PR
00745
US

V. Phone/Fax

Practice location:
  • Phone: 787-426-0698
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. VANESSA SOSTRE SANTIAGO
Title or Position: GASTROENTEROLOGIST
Credential: MD
Phone: 787-426-0698