Provider Demographics
NPI:1497883615
Name:RODRIGUEZ SANTIAGO, ANA M (MD)
Entity Type:Individual
Prefix:MRS
First Name:ANA
Middle Name:M
Last Name:RODRIGUEZ SANTIAGO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 591
Mailing Address - Street 2:
Mailing Address - City:COMERIO
Mailing Address - State:PR
Mailing Address - Zip Code:00782-0591
Mailing Address - Country:US
Mailing Address - Phone:787-730-1562
Mailing Address - Fax:787-870-4725
Practice Address - Street 1:RIO DEL PLATA MALL
Practice Address - Street 2:OFICINA 12 B
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00953
Practice Address - Country:US
Practice Address - Phone:787-870-4069
Practice Address - Fax:787-870-4725
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR10399208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics