Provider Demographics
NPI:1922400332
Name:SANTIAGO MONTES, EDUARDO
Entity Type:Individual
Prefix:
First Name:EDUARDO
Middle Name:
Last Name:SANTIAGO MONTES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:D11 CAMINO DEL CHALET
Mailing Address - Street 2:QUINTA DEL RIO
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-3012
Mailing Address - Country:US
Mailing Address - Phone:787-617-2077
Mailing Address - Fax:
Practice Address - Street 1:D11 CAMINO DEL CHALET
Practice Address - Street 2:QUINTA DEL RIO
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-3012
Practice Address - Country:US
Practice Address - Phone:787-617-2077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-17
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program