Provider Demographics
NPI:1073342986
Name:SANTIAGO TORRES, ELSA MARIA (MD)
Entity type:Individual
Prefix:MS
First Name:ELSA
Middle Name:MARIA
Last Name:SANTIAGO TORRES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:9121 COMUNIDAD SERRANO
Mailing Address - Street 2:
Mailing Address - City:JUANA DIAZ
Mailing Address - State:PR
Mailing Address - Zip Code:00795-9411
Mailing Address - Country:US
Mailing Address - Phone:939-242-7725
Mailing Address - Fax:
Practice Address - Street 1:9121 COMUNIDAD SERRANO
Practice Address - Street 2:
Practice Address - City:JUANA DIAZ
Practice Address - State:PR
Practice Address - Zip Code:00795-9411
Practice Address - Country:US
Practice Address - Phone:939-242-7725
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2085363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical