| Doctor Name: | MIQUEL ANGEL SANTIAGO |
| NPI Number: | 1174547970 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 7279 |
| Business Practice Address: | 1845 Cherry St Montgomery, AL - 361072613 |
| Business Phone Number: | 3342632301 |
| Business Fax Number: | 3342630886 |
| Mailing Address: | Po Box 70365, MONTGOMERY |
| State: | AL |
| Postal Code: | 361070365 |
| Phone Number: | 3344205001 |
| Fax Number: | 3344200146 |
| NPI Enumeration Date: | 07/26/2006 |
| NPI Last Update Date: | 03/05/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 7279 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |