Provider Demographics
NPI:1457955718
Name:DR ANIBAL RODRIGUEZ SANTANA MEDICAL OFFICE PSC
Entity Type:Organization
Organization Name:DR ANIBAL RODRIGUEZ SANTANA MEDICAL OFFICE PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANIBAL
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ SANTANA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-431-8426
Mailing Address - Street 1:PO BOX 1283
Mailing Address - Street 2:
Mailing Address - City:ISABELA
Mailing Address - State:PR
Mailing Address - Zip Code:00662-1283
Mailing Address - Country:US
Mailing Address - Phone:787-872-3730
Mailing Address - Fax:
Practice Address - Street 1:1393 AVE FELIX ALDARONDO SANTIAGO
Practice Address - Street 2:
Practice Address - City:ISABELA
Practice Address - State:PR
Practice Address - Zip Code:00662-5950
Practice Address - Country:US
Practice Address - Phone:787-872-3730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-27
Last Update Date:2020-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty