Provider Demographics
NPI:1477504900
Name:PLANAS SANTIAGO, VIRGEN Y (MD)
Entity Type:Individual
Prefix:
First Name:VIRGEN
Middle Name:Y
Last Name:PLANAS SANTIAGO
Suffix:
Gender:F
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 1864
Mailing Address - Street 2:
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00785-1864
Mailing Address - Country:US
Mailing Address - Phone:787-599-9071
Mailing Address - Fax:
Practice Address - Street 1:8 CALLE COLON PACHECO
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:PR
Practice Address - Zip Code:00751-3344
Practice Address - Country:US
Practice Address - Phone:787-824-1100
Practice Address - Fax:787-824-7655
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15779208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
I27857Medicare UPIN
0022931Medicare ID - Type Unspecified