Provider Demographics
NPI:1972563039
Name:SANTOS, JOSE A (MD)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:A
Last Name:SANTOS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:690 CALLE CESAR GONZALEZ
Mailing Address - Street 2:APT. 1106
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-3901
Mailing Address - Country:US
Mailing Address - Phone:787-763-8362
Mailing Address - Fax:787-763-8362
Practice Address - Street 1:PISO 9, A-989
Practice Address - Street 2:CENTRO MEDICO RECINTO DE CIENCIAS MEDICA
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00935
Practice Address - Country:US
Practice Address - Phone:787-766-2844
Practice Address - Fax:787-758-1327
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-24
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR7937207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Not Answered207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR80221OtherTRIPLE-S
PRM-6968OtherCRUZ AZUL
PR2-7937OtherMCS
PR3932OtherUNITED HEALTHCARE
PR80221OtherTRIPLE-S
PR3932OtherUNITED HEALTHCARE