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General NPI Number Information
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NPI Number | 1891752440
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Entity Type | Individual
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Provider Name | JOSE A SANTIAGO SANTIAGO MD
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Gender | Male
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 08/10/2022
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Provider Practice Location Address
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Address Line | 602 CALLE JOSE V RODRIGUEZ
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City | PENUELAS
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State | PR
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Zip | 00624-1807
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Country | US
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Telephone | 787-836-3288
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Fax | 866-626-2798
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Provider Business Mailing Address
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Address Line | PO BOX 10730
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City | PONCE
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State | PR
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Zip | 00732-0730
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Country | US
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Telephone | 787-836-3288
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Fax | 866-626-2798
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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 | 8333
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License Number State | PR
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