Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | 11203 | PR |
NPI | 1063445484 |
---|---|
Provider Name | Dr. Angel Galera-Santiago |
First Address | San Juan, PR 00921-3200 |
Second Address | San Juan, PR 00921-3200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2006 |
Last Update Date | 08/07/2007 |