MEDICARE: MANUEL SANTIAGO CUMMINGS 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	207L00000X	Anesthesiology Physician	9957	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	82348	OTHER	PR	TRIPLE-S

General Provider Information

NPI Number	:	1851349369
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MANUEL SANTIAGO CUMMINGS M.D.

Provider Business Mailing Address
First Line	:	8 CALLE CEIBA
Second Line	:	MANSIONES DEL SUR
City	:	COTO LAUREL
State	:	PR
Zip	:	00780-2075
Country	:	US
Telephone Number	:	787-848-6567
Fax Number	:	787-284-8045

Provider Business Practice Location Address
First Line	:	HOSPITAL DAMAS
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00733
Country	:	US
Telephone Number	:	787-840-1445
Fax Number	:	787-284-8045

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

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	07/19/2011

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