Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 16588 | PR |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 241353 | NY |
NPI | 1275727802 |
---|---|
Provider Name | Dr. Ruben Augusto Hernandez-Santiago |
First Address | Ponce, PR 00732-8989 |
Second Address | Ponce, PR 00717-2112 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2007 |
Last Update Date | 17/09/2015 |