Provider Demographics
NPI:1710911383
Name:SANTOS, ARMANDO JOSE (MD)
Entity Type:Individual
Prefix:DR
First Name:ARMANDO
Middle Name:JOSE
Last Name:SANTOS
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:DEGETAU A11
Mailing Address - Street 2:BONNEVILLE TERRACE
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-5836
Mailing Address - Country:US
Mailing Address - Phone:787-743-7277
Mailing Address - Fax:787-743-7277
Practice Address - Street 1:DEGETAU ST. A11
Practice Address - Street 2:BONNEVILLE TERRACE
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-5836
Practice Address - Country:US
Practice Address - Phone:787-743-7277
Practice Address - Fax:787-743-7277
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7445208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR6260033OtherHUMANA
PR6914OtherINTERNATIONAL MEDICAL CAR
PA120343OtherHUMANA REFORMA
PR98861OtherTRIPLE S
PR068856OtherCRUZ AZUL
PR203892OtherPREFARED HEALTH