Provider Demographics
NPI:1801969746
Name:SANTANA PARACCHINI, ADRIAN ANTONIO (MD)
Entity type:Individual
Prefix:
First Name:ADRIAN
Middle Name:ANTONIO
Last Name:SANTANA PARACCHINI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ADRIAN
Other - Middle Name:A
Other - Last Name:SANTANA PARACCHINI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ADRIAN A SANTANA
Mailing Address - Street 1:623 AVE LA CEIBA
Mailing Address - Street 2:ROVIRA OFFICE PARK SUITE 301
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717-1902
Mailing Address - Country:US
Mailing Address - Phone:787-984-2293
Mailing Address - Fax:787-840-2293
Practice Address - Street 1:623 AVE LA CEIBA
Practice Address - Street 2:ROVIRA OFFICE PARK SUITE 301
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-1902
Practice Address - Country:US
Practice Address - Phone:787-984-2293
Practice Address - Fax:787-840-2293
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14842208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRH70586Medicare UPIN
PR0099960Medicare ID - Type UnspecifiedMEDICARE NUMBER