Active NPIIndividual provider

Eduardo Rodriguez Santiago, 1562B

Physician Assistant, Medical in Ponce, Puerto Rico

NPI Number1295949865
Practice location
Parra Medical Plaza Ave Ponce By Pass, Suite 904-905, Ponce, PR 00717
Fax
787-844-2832
Last updated
December 3, 2020

Eduardo Rodriguez Santiago is a Physician Assistant, Medical based in Ponce, PR. Eduardo Rodriguez Santiago practices in Ponce, PR and has the professional credentials of 1562B. The NPI Number for Eduardo Rodriguez Santiago is 1295949865 and holds a License No. 1562B (PR). The current practice location address for Eduardo Rodriguez Santiago is Parra Medical Plaza Ave Ponce By Pass, Suite 904-905, Ponce, PR 00717 and can be reached out via phone at 787-844-2710 and via fax at 787-844-2832.

Provider Profile Details

NPI Number
1295949865
Provider Name
Eduardo Rodriguez Santiago
Credential
1562B
Provider Entity Type
Individual
Gender
Male
Address
Parra Medical Plaza Ave Ponce By Pass, Suite 904-905, Ponce, PR 00717
Phone Number
787-844-2710
Fax Number
787-844-2832
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
May 10, 2007
Last Update Date
December 3, 2020
Certification Date
December 3, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
Parra Medical Plaza Ave Ponce By Pass
Suite 904-905
Ponce, PR 00717
City
Ponce
Zip
00717
Phone Number
787-844-2710
Fax Number
787-844-2832
Ponce, PR 00717Get directions →

Provider Business Mailing Address Details

Address
Po Box 1292
Cabo Rojo, PR 00623-1292
City
Cabo Rojo
State
PR
Zip
00623-1292
Phone Number
787-231-5758

License Information

License Number (1)
1562B
License State (1)
PR
Taxonomy (1)
Emergency Medical Technician, Basic · 146N00000X
License Number (2)
079-PA
License State (2)
PR
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Eduardo Rodriguez Santiago, 1562B?

The NPI number of Eduardo Rodriguez Santiago, 1562B is 1295949865. It was assigned on May 10, 2007 and is currently active in the NPPES registry.

What is the specialty of Eduardo Rodriguez Santiago, 1562B?

Eduardo Rodriguez Santiago, 1562B is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in PR under license number 1562B.

Where does Eduardo Rodriguez Santiago, 1562B practice?

The practice location is Parra Medical Plaza Ave Ponce By Pass, Suite 904-905, Ponce, PR 00717. The office can be reached at 787-844-2710 (phone) or 787-844-2832 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295949865 directly on the NPPES registry website.

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