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General NPI Number Information
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NPI Number | 1396920518
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Entity Type | Individual
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Provider Name | MONICA SANTIAGO CASIANO M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/07/2008
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Last Update Date | 12/13/2021
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Provider Practice Location Address
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Address Line | CENTRO PROFESIONAL DEL SUR CARR. 121 KM 13.3
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City | YAUCO, PUERTO RICO
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State | PR
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Zip | 00698-0000
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Country | US
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Telephone | 787-957-3111
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Fax |
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Provider Business Mailing Address
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Address Line | HC 4 BOX 12491
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City | YAUCO
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State | PR
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Zip | 00698-9515
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Country | US
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Telephone | 787-957-3111
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 17172
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 17172
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License Number State | PR
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