Provider Demographics
NPI:1780164269
Name:SANTIAGO-BERRIOS, MICHEL (MD)
Entity type:Individual
Prefix:MRS
First Name:MICHEL
Middle Name:
Last Name:SANTIAGO-BERRIOS
Suffix:
Gender:
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 203
Mailing Address - Street 2:
Mailing Address - City:NARANJITO
Mailing Address - State:PR
Mailing Address - Zip Code:00719-0203
Mailing Address - Country:US
Mailing Address - Phone:787-568-3639
Mailing Address - Fax:
Practice Address - Street 1:HOSPITAL UNIVERSITARIO DE ADULTOS
Practice Address - Street 2:CENTRO MEDICO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-0921
Practice Address - Country:US
Practice Address - Phone:787-568-3639
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-15
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15612-E207R00000X
PR23207207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine