Provider Demographics
NPI:1184309700
Name:AS ENDOCRINOLOGY LLC
Entity type:Organization
Organization Name:AS ENDOCRINOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ADA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SANTIAGO CARRION
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-548-8847
Mailing Address - Street 1:PO BOX 190152
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00919-0152
Mailing Address - Country:US
Mailing Address - Phone:787-726-1100
Mailing Address - Fax:
Practice Address - Street 1:1801 AVE PONCE DE LEON STE 308
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909-1917
Practice Address - Country:US
Practice Address - Phone:787-726-1100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-20
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty