Provider Demographics
NPI:1477217685
Name:REYES-SANTIAGO, FRANCISCO JAVIER (AUD, SLP)
Entity type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:JAVIER
Last Name:REYES-SANTIAGO
Suffix:
Gender:M
Credentials:AUD, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 CARR 189 APT 2251
Mailing Address - Street 2:
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778-5348
Mailing Address - Country:US
Mailing Address - Phone:787-685-6166
Mailing Address - Fax:
Practice Address - Street 1:BO. MONACILLO CENTRO MEDICO DE PUERTO RICO
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00928
Practice Address - Country:US
Practice Address - Phone:787-480-5830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-25
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4120235Z00000X
PR1023231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist