Provider Demographics
NPI:1417391772
Name:SANTIAGO, ARTURO (DPT, CSCS)
Entity type:Individual
Prefix:MR
First Name:ARTURO
Middle Name:
Last Name:SANTIAGO
Suffix:
Gender:M
Credentials:DPT, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3840 ORLOFF AVE APT 4E
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-2617
Mailing Address - Country:US
Mailing Address - Phone:347-224-1494
Mailing Address - Fax:
Practice Address - Street 1:3840 ORLOFF AVE APT 4E
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-2617
Practice Address - Country:US
Practice Address - Phone:347-224-1494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-17
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program