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General NPI Number Information
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NPI Number | 1275727802
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Entity Type | Individual
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Provider Name | RUBEN AUGUSTO HERNANDEZ-SANTIAGO M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/27/2007
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Last Update Date | 09/17/2015
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Provider Practice Location Address
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Address Line | 2435 BLVD LUIS A FERRE HOSPITAL DR. PILA, PRIMER PISO
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City | PONCE
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State | PR
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Zip | 00717-2112
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Country | US
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Telephone | 787-651-5580
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Fax | 787-848-0318
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Provider Business Mailing Address
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Address Line | PO BOX 8989
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City | PONCE
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State | PR
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Zip | 00732-8989
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Country | US
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Telephone | 787-651-5580
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Fax | 787-848-0318
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 16588
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 241353
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License Number State | NY
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