Provider Demographics
NPI:1851349369
Name:SANTIAGO CUMMINGS, MANUEL (MD)
Entity Type:Individual
Prefix:
First Name:MANUEL
Middle Name:
Last Name:SANTIAGO CUMMINGS
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 1:8 CALLE CEIBA
Mailing Address - Street 2:MANSIONES DEL SUR
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780-2075
Mailing Address - Country:US
Mailing Address - Phone:787-848-6567
Mailing Address - Fax:787-284-8045
Practice Address - Street 1:HOSPITAL DAMAS
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00733
Practice Address - Country:US
Practice Address - Phone:787-840-1445
Practice Address - Fax:787-284-8045
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9957207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR82348OtherTRIPLE-S