Basic Information
| Provider Information | |||||||||
| NPI: | 1669538385 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SANTAELLA | ||||||||
| FirstName: | ALVARO | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 138 AVE WINSTON CHURCHILL | ||||||||
| Address2: | MSC 660 EL SENORIAL MAIL STATION | ||||||||
| City: | SAN JUAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 009266013 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7872723493 | ||||||||
| FaxNumber: | 7872726023 | ||||||||
| Practice Location | |||||||||
| Address1: | AVE FONT MARTELO 317 | ||||||||
| Address2: | NURSERY | ||||||||
| City: | HUMACAO | ||||||||
| State: | PR | ||||||||
| PostalCode: | 007920000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7876533434 | ||||||||
| FaxNumber: | 7872723493 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/28/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080N0001X | 6627 | PR | Y | Allopathic & Osteopathic Physicians | Pediatrics | Neonatal-Perinatal Medicine |
No ID Information.