Physician Compare National (NPI:1386624716)

HEALTHCARE PROVIDER: WALDO SANTIAGO MONTALVO M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1386624716
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8729262803
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110414000307
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SANTIAGO-MONTALVO
	Individual professional last name
Provider First Name	WALDO
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY CENTRAL DEL CARIBE ESCUELA DE MEDICINA
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	GASTROENTEROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	AVE SEVERIANO CUEVAS
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 23
	Group Practice or individual's line 2 address
City	AGUADILLA
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	006035713
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7878822929
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y