Provider Demographics
NPI:1083654784
Name:SANTIAGO, ROSANGEL (MD)
Entity type:Individual
Prefix:
First Name:ROSANGEL
Middle Name:
Last Name:SANTIAGO
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:CONDOMINIO PRIMAVERA
Mailing Address - Street 2:APT 722 BOX 40
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-4803
Mailing Address - Country:US
Mailing Address - Phone:787-452-0574
Mailing Address - Fax:
Practice Address - Street 1:AVE PONCE DE LEON 715
Practice Address - Street 2:PDA. 37 HATO REY
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-771-7396
Practice Address - Fax:787-771-7948
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16160208D00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine