Healthcare Provider Details

I. General information

NPI: 1245763036
Provider Name (Legal Business Name): STEVEN ALFONSO GARCIA-SANTIAGO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2017
Last Update Date: 12/12/2023
Certification Date: 12/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CENTRO CARDIOVASCULAR DE PUERTO RICO AVE AMERICO MIRANDA
SAN JUAN PR
00921
US

IV. Provider business mailing address

CENTRO CARDIOVASCULAR DE PUERTO RICO Y EL CARIBE AVE AMERICO MIRANDA
SAN JUAN PR
00921
US

V. Phone/Fax

Practice location:
  • Phone: 787-754-8500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number22816
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: