Provider Demographics
NPI:1306164694
Name:TORRES SANTIAGO, KARLA MICHELLE (MD)
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:MICHELLE
Last Name:TORRES 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:D4 CALLE 14
Mailing Address - Street 2:URB SANS SOUCI
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00957-4332
Mailing Address - Country:US
Mailing Address - Phone:787-398-2207
Mailing Address - Fax:
Practice Address - Street 1:D4 CALLE 14
Practice Address - Street 2:URB SANS SOUCI
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00957-4332
Practice Address - Country:US
Practice Address - Phone:787-398-2207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-11
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL14737208D00000X
PR24133208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice