Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 9214 | PR |
NPI | 1083676894 |
---|---|
Provider Name | Mr. Jose M Santiago-Figueroa |
First Address | San Juan, PR 00926 |
Second Address | San Juan, PR 00909-1703 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2006 |
Last Update Date | 21/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F49990 | (02) | PR |