Santiago Medical Group, Inc.
NPI #1790830339 in North Providence, Rhode Island
Provider Information
- NPI Number
- 1790830339
- Entity Type
- Organization
- Organization Name
- Santiago Medical Group, Inc.
- Primary Specialty
- Pediatrics - Adolescent Medicine
- Enumeration Date
- Jan 24, 2007
- Last Updated
- Jul 15, 2009
Practice Location
- Address
- 967 MINERAL SPRING AVENUE
- City
- North Providence
- State
- Rhode Island
- ZIP Code
- 02904-4934
- Phone
- (401) 312-0444
Authorized Official
- Name
- DR. MIGUEL A FUENTES, M.D.
- Title
- PRESIDENT
- Phone
- (401) 312-0444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Adolescent Medicine — Adolescent Medicine |
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