MEDICARE: DR. CLAUDIO SAMUEL SANTOS GARCIA MD

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	208D00000X	General Practice Physician	15576	PR

General Provider Information

NPI Number	:	1699861286
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CLAUDIO SAMUEL SANTOS GARCIA MD

Provider Business Mailing Address
First Line	:	136 PASEO REAL
Second Line	:
City	:	JUANA DIAZ
State	:	PR
Zip	:	00795-8001
Country	:	US
Telephone Number	:	787-409-7048
Fax Number	:

Provider Business Practice Location Address
First Line	:	10A CALLE HECTOR M HDEZ SUAREZ
Second Line	:
City	:	SALINAS
State	:	PR
Zip	:	00751-3314
Country	:	US
Telephone Number	:	787-975-1279
Fax Number	:

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

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	11/11/2020

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