Provider Demographics
NPI:1366656969
Name:SANTANA, JORGE ARTURO (MD)
Entity Type:Individual
Prefix:DR
First Name:JORGE
Middle Name:ARTURO
Last Name:SANTANA
Suffix:
Gender:M
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:VIA GIRASOLES MANSION DEL SOL
Mailing Address - Street 2:MS1
Mailing Address - City:SABANA SECA
Mailing Address - State:PR
Mailing Address - Zip Code:00952
Mailing Address - Country:US
Mailing Address - Phone:787-784-0624
Mailing Address - Fax:787-784-0624
Practice Address - Street 1:VIA GIRASOLES MANSION DEL SOL
Practice Address - Street 2:MS1
Practice Address - City:SABANA SECA
Practice Address - State:PR
Practice Address - Zip Code:00952
Practice Address - Country:US
Practice Address - Phone:787-784-0624
Practice Address - Fax:787-784-0624
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9466208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR9466OtherLIC PR
PR0028944Medicare PIN