Provider Demographics
NPI:1942396965
Name:SANTOS-BELLO, MIGUEL ENRIQUE (MD)
Entity Type:Individual
Prefix:DR
First Name:MIGUEL
Middle Name:ENRIQUE
Last Name:SANTOS-BELLO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8024 CALLE CONCORDIA STE 405
Mailing Address - Street 2:URB. SANTA MARIA
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717-1510
Mailing Address - Country:US
Mailing Address - Phone:787-812-3318
Mailing Address - Fax:787-290-3318
Practice Address - Street 1:URB SANTA MARIA
Practice Address - Street 2:8024 CALLE CONCORDIA STE 405
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-0071
Practice Address - Country:US
Practice Address - Phone:787-812-3318
Practice Address - Fax:787-290-3318
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2022-03-16
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Provider Licenses
StateLicense IDTaxonomies
PR10892207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR037440300Medicaid
PRG60586Medicare UPIN