MEDICARE: DR. ALLAN SANTIAGO

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	207RG0100X	Gastroenterology Physician	7360	PR

General Provider Information

NPI Number	:	1457327306
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALLAN SANTIAGO

Provider Business Mailing Address
First Line	:	CALLE POPPY B -74
Second Line	:	PARQUE FORESTAL
City	:	RIO PIEDRAS
State	:	PR
Zip	:	00926
Country	:	US
Telephone Number	:	787-721-7789
Fax Number	:	787-725-5589

Provider Business Practice Location Address
First Line	:	29 CALLE WASHINGTON STE 705
Second Line	:	ASHFORD MEDICAL CENTER
City	:	SAN JUAN
State	:	PR
Zip	:	00907-1521
Country	:	US
Telephone Number	:	787-721-7789
Fax Number	:	787-725-5589

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

Provider Enumeration Date	:	02/28/2006
Last Update Date	:	01/22/2014

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