Provider Demographics
NPI:1083676894
Name:SANTIAGO-FIGUEROA, JOSE M
Entity Type:Individual
Prefix:MR
First Name:JOSE
Middle Name:M
Last Name:SANTIAGO-FIGUEROA
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:JOSE
Other - Middle Name:M
Other - Last Name:SANTIAGO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:URB. EL MIRADOR
Mailing Address - Street 2:8 ST.G-15
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-721-5505
Mailing Address - Fax:787-721-5388
Practice Address - Street 1:COND PLAZA DE DIEGO
Practice Address - Street 2:310 AVE DE DIEGO SUITE 301
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909-1703
Practice Address - Country:US
Practice Address - Phone:787-721-5505
Practice Address - Fax:787-721-5388
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-05
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9214207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRF49990Medicare UPIN