MEDICARE: ARIEL CASTRO SANTANA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program	17555-I	PR

General Provider Information

NPI Number	:	1215793443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIEL CASTRO SANTANA

Provider Business Mailing Address
First Line	:	PO BOX 6308
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00914-6308
Country	:	US
Telephone Number	:	939-406-0468
Fax Number	:

Provider Business Practice Location Address
First Line	:	1559 CALLE VICTORIA
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00912-3123
Country	:	US
Telephone Number	:	787-727-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2024
Last Update Date	:	09/03/2025

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Directions to “ ARIEL CASTRO SANTANA ” Practice Location

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