Healthcare Provider Details

I. General information

NPI: 1083676894
Provider Name (Legal Business Name): MR. JOSE M SANTIAGO-FIGUEROA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: JOSE M SANTIAGO M.D.

II. Dates (important events)

Enumeration Date: 04/05/2006
Last Update Date: 11/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

COND PLAZA DE DIEGO 310 AVE DE DIEGO SUITE 301
SAN JUAN PR
00909-1703
US

IV. Provider business mailing address

URB. EL MIRADOR 8 ST.G-15
SAN JUAN PR
00926
US

V. Phone/Fax

Practice location:
  • Phone: 787-721-5505
  • Fax: 787-721-5388
Mailing address:
  • Phone: 787-721-5505
  • Fax: 787-721-5388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number9214
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: