Dr Osvaldo J Santiago PSC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

8529 Issued in PR

Legal business name

DR OSVALDO J SANTIAGO PSC

Practice address

2606 Calle Mayor
Ponce, PR 00717-2074

Phone

(787) 259-7077

Fax

(787) 259-7026

NPI assigned

Jun 4, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Dolores D Rodriguez

Title

Administrator

Phone

(787) 259-7077

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043412901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 CALLE MAYOR",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172074",
            "telephone_number": "787-259-7077",
            "fax_number": "787-259-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 CALLE MAYOR",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172074",
            "telephone_number": "787-259-7077",
            "fax_number": "787-259-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR OSVALDO J SANTIAGO PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "DOLORES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-259-7077",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "PR",
            "license": "8529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDV NPI",
            "identifier": "1346212453",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Vascular Surgery Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• Vascular Surgery Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.