Provider Demographics
NPI:1164975629
Name:SANTIAGO-MORALES, NATALIA (MD)
Entity Type:Individual
Prefix:DR
First Name:NATALIA
Middle Name:
Last Name:SANTIAGO-MORALES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2326 HUTCHINS ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-1302
Mailing Address - Country:US
Mailing Address - Phone:787-586-2702
Mailing Address - Fax:
Practice Address - Street 1:1919 NORTH LOOP W STE 420
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1364
Practice Address - Country:US
Practice Address - Phone:832-709-1110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-01
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXBP10063216208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program