Provider Demographics
NPI:1326144361
Name:SANTOS, GLORIMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:GLORIMAR
Middle Name:
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:URBANIZACION RIVER GARDEN
Mailing Address - Street 2:STREET #339 CALLE FLOR DE NONO
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729
Mailing Address - Country:US
Mailing Address - Phone:787-460-5346
Mailing Address - Fax:
Practice Address - Street 1:EAST MEDICAL & PROFFESSIONAL CENTER
Practice Address - Street 2:CARRETERA #3 KM 19.9
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729
Practice Address - Country:US
Practice Address - Phone:787-256-5555
Practice Address - Fax:787-256-5454
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2013-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14913207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine