Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 13526 | PR |
N | 111NI0900X | Internist | 13526 | PR |
Y | 207U00000X | Nuclear Medicine Specialist | 13526 | PR |
NPI | 1649214263 |
---|---|
Provider Name | Dr. Bartolo Santiago Delgado |
First Address | Guaynabo, PR 00966 |
Second Address | Guaynabo, PR 00966 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2006 |
Last Update Date | 17/12/2015 |