Provider Demographics
NPI:1366829731
Name:GRANA SANTINI, ALBERTO JAVIER (MD)
Entity Type:Individual
Prefix:DR
First Name:ALBERTO
Middle Name:JAVIER
Last Name:GRANA SANTINI
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:URB EL VIGIA
Mailing Address - Street 2:ST 5 CALLE ANASTACIA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-4204
Mailing Address - Country:US
Mailing Address - Phone:787-374-0808
Mailing Address - Fax:
Practice Address - Street 1:CARR 172
Practice Address - Street 2:EDIF B SUITE B6
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-1111
Practice Address - Country:US
Practice Address - Phone:787-563-0550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-05
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR32935208D00000X
PR19952207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice