Provider Demographics
NPI:1396849535
Name:SANTINI -OLIVIERI, HECTOR M (MD)
Entity Type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:M
Last Name:SANTINI -OLIVIERI
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:PO BOX 7184
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00732-7184
Mailing Address - Country:US
Mailing Address - Phone:787-259-4233
Mailing Address - Fax:787-259-4235
Practice Address - Street 1:2225 PONCE BYP
Practice Address - Street 2:SUITE 502
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717
Practice Address - Country:US
Practice Address - Phone:787-259-4233
Practice Address - Fax:787-259-4235
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-08
Last Update Date:2018-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7781174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRE31527Medicare UPIN