Provider Demographics
NPI:1417971458
Name:SANTIAGO SANCHEZ, MICHELANGELO (MD)
Entity Type:Individual
Prefix:
First Name:MICHELANGELO
Middle Name:
Last Name:SANTIAGO SANCHEZ
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 71325
Mailing Address - Street 2:SUITE 60
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-8425
Mailing Address - Country:US
Mailing Address - Phone:787-579-5423
Mailing Address - Fax:
Practice Address - Street 1:CALLE 45 SE #892 REPARTO METROPOLITANO
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921
Practice Address - Country:US
Practice Address - Phone:787-282-2525
Practice Address - Fax:787-282-2525
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16224208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery