Provider Demographics
NPI:1669415873
Name:SANTALIZ, WILLIAM FRANCISCO (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:FRANCISCO
Last Name:SANTALIZ
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:PO BOX 1403
Mailing Address - Street 2:
Mailing Address - City:ANASCO
Mailing Address - State:PR
Mailing Address - Zip Code:00610-1403
Mailing Address - Country:US
Mailing Address - Phone:939-241-7017
Mailing Address - Fax:
Practice Address - Street 1:175 ALGARROBO AVENUE
Practice Address - Street 2:MAYAGUEZ VA OUTPATIENT CLINIC
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00682-1279
Practice Address - Country:US
Practice Address - Phone:787-641-7582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8757207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine