| Doctor Name: | DR. AXEL ANIBAL SANTOS |
| NPI Number: | 1245411883 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 2507 |
| Business Practice Address: | 10 Calle Betances Yauco, PR - 006983647 |
| Business Phone Number: | 7873909830 |
| Business Fax Number: | |
| Mailing Address: | Hc 2 Box 5911, PENUELAS |
| State: | PR |
| Postal Code: | 006249834 |
| Phone Number: | 7873909830 |
| Fax Number: | |
| NPI Enumeration Date: | 11/26/2007 |
| NPI Last Update Date: | 04/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 2507 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |