Healthcare Provider Details

I. General information

NPI: 1275397325
Provider Name (Legal Business Name): ALEXANDRA SANTOS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/09/2024
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 BLVD DE LA MONTANA APT 634
SAN JUAN PR
00926-7029
US

IV. Provider business mailing address

300 BLVD DE LA MONTANA APT 634
SAN JUAN PR
00926-7029
US

V. Phone/Fax

Practice location:
  • Phone: 787-688-2674
  • Fax:
Mailing address:
  • Phone: 787-688-2674
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number17998
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: