Provider Demographics
NPI:1417086885
Name:SANTIAGO, FRANCISCO H (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:H
Last Name:SANTIAGO
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 1:3216 165TH ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358-1434
Mailing Address - Country:US
Mailing Address - Phone:718-961-9039
Mailing Address - Fax:718-961-0956
Practice Address - Street 1:8318 BRITTON AVE
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-2454
Practice Address - Country:US
Practice Address - Phone:718-565-0186
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY141928208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00803329Medicaid
NYC66825Medicare UPIN
NY11214Medicare ID - Type Unspecified