Provider Demographics
NPI:1760637755
Name:M. V. SANTIAGO MEDICAL CENTER
Entity Type:Organization
Organization Name:M. V. SANTIAGO MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:VALENZUELA
Authorized Official - Last Name:SANTIAGO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:046-419-1877
Mailing Address - Street 1:BRGY. DE OCAMPO
Mailing Address - Street 2:
Mailing Address - City:TRECE MARTIRES
Mailing Address - State:CAVITE
Mailing Address - Zip Code:4109
Mailing Address - Country:PH
Mailing Address - Phone:046-419-1877
Mailing Address - Fax:046-419-1866
Practice Address - Street 1:BRGY. DE OCAMPO
Practice Address - Street 2:
Practice Address - City:TRECE MARTIRES
Practice Address - State:CAVITE
Practice Address - Zip Code:4109
Practice Address - Country:PH
Practice Address - Phone:046-419-1877
Practice Address - Fax:046-419-1866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-18
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital