| Doctor Name: | JOSE RAUL SANTOS |
| NPI Number: | 1205819430 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 11075 |
| Business Practice Address: | Centro Medico Mayaguez Hospital Bella Vista Mayaguez, PR - 00680 |
| Business Phone Number: | 7878346090 |
| Business Fax Number: | |
| Mailing Address: | Po Box 7779, Ste 112 MAYAGUEZ |
| State: | PR |
| Postal Code: | 00605 |
| Phone Number: | 7878261273 |
| Fax Number: | |
| NPI Enumeration Date: | 11/22/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 11075 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |