Provider Demographics
NPI:1356627657
Name:SANTIAGO-ALBIZU, XAVIER E (MD)
Entity Type:Individual
Prefix:DR
First Name:XAVIER
Middle Name:E
Last Name:SANTIAGO-ALBIZU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:607 CALLE CONDADO OFIC 401
Mailing Address - Street 2:CONDOMINIO CONDADO
Mailing Address - City:SANTURCE
Mailing Address - State:PR
Mailing Address - Zip Code:00907
Mailing Address - Country:US
Mailing Address - Phone:787-234-2535
Mailing Address - Fax:
Practice Address - Street 1:607 AVE CONDADO
Practice Address - Street 2:CONDOMINO CONDADO OFICINA 401
Practice Address - City:SANTURCE
Practice Address - State:PR
Practice Address - Zip Code:00907-3845
Practice Address - Country:US
Practice Address - Phone:787-234-2535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-31
Last Update Date:2015-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002548171100000X
PR19,926207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No171100000XOther Service ProvidersAcupuncturist