Provider Demographics
NPI:1912022310
Name:HURTADO-SANTIAGO, WILLIAM O (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:O
Last Name:HURTADO-SANTIAGO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:357 AVE HOSTOS STE 203
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680-1535
Mailing Address - Country:US
Mailing Address - Phone:787-677-7885
Mailing Address - Fax:787-806-2200
Practice Address - Street 1:359 AVE HOSTOS STE 201
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-1507
Practice Address - Country:US
Practice Address - Phone:939-475-3432
Practice Address - Fax:787-806-2239
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2019-03-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR16554207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology