Provider Demographics
NPI:1427111848
Name:TORRES-SANTIAGO, ROXANNA MAGALIE (MD)
Entity type:Individual
Prefix:DR
First Name:ROXANNA
Middle Name:MAGALIE
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 1:200 LURAY DR
Mailing Address - Street 2:
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43953-3973
Mailing Address - Country:US
Mailing Address - Phone:740-314-8258
Mailing Address - Fax:
Practice Address - Street 1:3158 WEST ST
Practice Address - Street 2:
Practice Address - City:WEIRTON
Practice Address - State:WV
Practice Address - Zip Code:26062-4637
Practice Address - Country:US
Practice Address - Phone:304-797-7733
Practice Address - Fax:330-385-9672
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35084067-T207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0000003870885OtherANTHEM
OH2474399Medicaid
0000003870885OtherANTHEM
OH4130453Medicare PIN
OH4130454Medicare PIN