Provider Demographics
NPI:1053852962
Name:RODRIGUEZ SANTIAGO, MARIA ALEJANDRA (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:ALEJANDRA
Last Name:RODRIGUEZ SANTIAGO
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 AVE SAN PATRICIO STE 1260
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00968-3059
Mailing Address - Country:US
Mailing Address - Phone:787-272-2010
Mailing Address - Fax:
Practice Address - Street 1:101 AVE SAN PATRICIO STE 1260
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968-3059
Practice Address - Country:US
Practice Address - Phone:787-272-2010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR22811390200000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program