Provider Demographics
NPI:1215018221
Name:SANTOS, ANA L (MD)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:L
Last Name:SANTOS
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:EE3 CALLE POPPY
Mailing Address - Street 2:BORINQUEN GARDENS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-6303
Mailing Address - Country:US
Mailing Address - Phone:787-603-7467
Mailing Address - Fax:
Practice Address - Street 1:A-6 CALLE PRINCIPAL
Practice Address - Street 2:URB. LOMA LINDA
Practice Address - City:COROZAL
Practice Address - State:PR
Practice Address - Zip Code:00783
Practice Address - Country:US
Practice Address - Phone:787-802-0605
Practice Address - Fax:787-802-0605
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10982207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0020810Medicare ID - Type Unspecified
PRH-88071Medicare UPIN