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NPI Code Detail

MEDICARE: VIRGEN Y PLANAS SANTIAGO M.D.

MEDICARE: VIRGEN Y PLANAS SANTIAGO M.D.
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
1208D00000XGeneral Practice Physician15779PR

General Provider Information

NPI Number : 1477504900
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIRGEN Y PLANAS SANTIAGO M.D.
Provider Business Mailing Address
First Line : PO BOX 1864
Second Line :
City : GUAYAMA
State : PR
Zip : 00785-1864
Country : US
Telephone Number : 787-599-9071
Fax Number :
Provider Business Practice Location Address
First Line : 8 CALLE COLON PACHECO
Second Line :
City : SALINAS
State : PR
Zip : 00751-3344
Country : US
Telephone Number : 787-824-1100
Fax Number : 787-824-7655
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2006
Last Update Date : 09/30/2010

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