Doctor Name: | ALBERTO SANTOS |
NPI Number: | 1225121122 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 7179 |
Business Practice Address: | Calle Del Parque Bloque 1 Suite 1 Coto Laurel Ponce, PR - 007800383 |
Business Phone Number: | 7878481005 |
Business Fax Number: | 7878408269 |
Mailing Address: | Po Box 800383, Calle Del Parque Bloque 1 Suite 1 PONCE |
State: | PR |
Postal Code: | 007800383 |
Phone Number: | 7878481005 |
Fax Number: | 7878408269 |
NPI Enumeration Date: | 10/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 7179 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |