Provider Demographics
NPI:1700917184
Name:SANTIAGO FIOL, IVONNE M (MD)
Entity Type:Individual
Prefix:DR
First Name:IVONNE
Middle Name:M
Last Name:SANTIAGO FIOL
Suffix:
Gender:F
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:A7 CALLE SAN IGNACIO
Mailing Address - Street 2:SAN PEDRO ESTATES
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-7600
Mailing Address - Country:US
Mailing Address - Phone:787-747-6250
Mailing Address - Fax:
Practice Address - Street 1:A7 CALLE SAN IGNACIO
Practice Address - Street 2:SAN PEDRO ESTATES
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-7600
Practice Address - Country:US
Practice Address - Phone:787-747-6250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11994207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRG40979Medicare UPIN
PR0087927Medicare ID - Type Unspecified