Provider Demographics
NPI:1629413323
Name:COSTE-SIBILIA, SANTIAGO (MD)
Entity type:Individual
Prefix:
First Name:SANTIAGO
Middle Name:
Last Name:COSTE-SIBILIA
Suffix:
Gender:M
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:METRO MEDICAL CENTER
Mailing Address - Street 2:1995 CARR#2 OFFICE 1-306
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959-5080
Mailing Address - Country:US
Mailing Address - Phone:787-919-7799
Mailing Address - Fax:787-421-9070
Practice Address - Street 1:METRO MEDICAL CENTER
Practice Address - Street 2:TORRE A SUITE 306
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-919-7799
Practice Address - Fax:787-421-9070
Is Sole Proprietor?:No
Enumeration Date:2013-05-08
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR32,474-R207RG0100X
390200000X
PR19633207RG0100X
PR31709-R207R00000X
PR31047-R207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine