Provider Demographics
NPI:1881724409
Name:GONZALEZ-SANTONI, RICARDO EDUARDO (MD)
Entity type:Individual
Prefix:DR
First Name:RICARDO
Middle Name:EDUARDO
Last Name:GONZALEZ-SANTONI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:57 CALLE QUENEPA
Mailing Address - Street 2:MILAVILLE
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-5133
Mailing Address - Country:US
Mailing Address - Phone:787-758-9662
Mailing Address - Fax:787-758-9662
Practice Address - Street 1:1772 AVE. GLASGOW
Practice Address - Street 2:COLLEGE PARK
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921
Practice Address - Country:US
Practice Address - Phone:787-758-9662
Practice Address - Fax:787-758-9662
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2011-02-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR9285207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRE20104Medicare UPIN
PR81606Medicare ID - Type Unspecified