MEDICARE: DR. MARIA I SANTE 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
1	207ZM0300X	Medical Microbiology Physician	6931	PR
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	6931	PR

General Provider Information

NPI Number	:	1609917137
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIA I SANTE M.D.

Provider Business Mailing Address
First Line	:	138 AVE WINSTON CHURCHILL
Second Line	:	MSC 660 EL SENORIAL MAIL STATION
City	:	SAN JUAN
State	:	PR
Zip	:	00926-6013
Country	:	US
Telephone Number	:	787-758-2525
Fax Number	:	787-754-0710

Provider Business Practice Location Address
First Line	:	DEPARTAMENTO DE PATOLOGIA RCM
Second Line	:	EDIF. PRINCIPAL RCM PISO 3, OFIC 393
City	:	RIO PIEDRAS
State	:	PR
Zip	:	00935
Country	:	US
Telephone Number	:	787-758-2525
Fax Number	:	787-754-0710

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

Provider Enumeration Date	:	02/09/2007
Last Update Date	:	03/20/2013

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