Santiago Perez, Dwight M

Santiago Perez, Dwight M is an sole proprietor health care provider with primary practice located at 29 Calle Washington Ashford Medical Center Suite 306, San Juan PR 00907-1510. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Santiago Perez, Dwight M can be contacted via phone (787) 722-5513.

Contact Information

Primary practice address
29 Calle Washington Ashford Medical Center Suite 306 San Juan PR 00907-1510
Phone: (787) 722-5513
Fax: (787) 723-8664
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X 4528 Puerto Rico

Profile Details

NPI number 1982655635
LBN Legal business name Santiago Perez, Dwight M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2006
Last updated Jan 15th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982655635 NPPES
Kentucky Other 612057300 OFFICE OF WORKERS COMPENSATION PROGRAM

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