MEDICARE: CARLOS M SANTIAGO 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	7685	PR

General Provider Information

NPI Number	:	1720208804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLOS M SANTIAGO MD

Provider Business Mailing Address
First Line	:	PO BOX 3656
Second Line	:
City	:	BAYAMON
State	:	PR
Zip	:	00958-0656
Country	:	US
Telephone Number	:	787-479-2539
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 AVE LAUREL # 100
Second Line	:
City	:	BAYAMON
State	:	PR
Zip	:	00956-3273
Country	:	US
Telephone Number	:	787-787-5151
Fax Number	:

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

Provider Enumeration Date	:	04/30/2007
Last Update Date	:	08/15/2025

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