Doctor Name: | ABRAHAM SANTANA |
NPI Number: | 1841609351 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 19199 |
Business Practice Address: | 68 Calle Jose Celso Balbosa Cdt Las Piedras, PR - 00771 |
Business Phone Number: | 7877335063 |
Business Fax Number: | |
Mailing Address: | Ax11 Calle Hermosillo, SAN JUAN |
State: | PR |
Postal Code: | 009264696 |
Phone Number: | 7873759596 |
Fax Number: | |
NPI Enumeration Date: | 08/08/2014 |
NPI Last Update Date: | 12/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 19199 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |