Santiago, Juan Gabriel
Santiago, Juan Gabriel is an sole proprietor health care provider with primary practice located at 13 Calle Mercedes Moreno , Aguadilla PR 00603-5152. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Santiago, Juan Gabriel can be contacted via phone (787) 882-6370.Contact Information
Primary practice address
13 Calle Mercedes Moreno
Aguadilla PR 00603-5152
Phone: (787) 882-6370
Fax: (787) 882-6373
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | N4065 | Texas |
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 17036 | Puerto Rico |
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 313053 | New York |
Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 313053 | New York |
Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | N4065 | Texas |
Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 17036 | Puerto Rico |
Profile Details
NPI number | 1518151877 |
---|---|
LBN Legal business name | Santiago, Juan Gabriel |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 30th, 2007 |
Last updated | Dec 7th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1518151877 | NPPES |
Puerto Rico | MEDICAID | 037544400 | |
Puerto Rico | MEDICAID | 205083301 |
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