Basic Information
Provider Information
NPI: 1821306127
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALVARADO-SANTIAGO
FirstName: MILLIETTE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
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Mailing Information
Address1: PO BOX 29134
Address2: ENDOCRINOLOGIA RCM
City: SAN JUAN
State: PR
PostalCode: 009290134
CountryCode: US
TelephoneNumber: 7877540101
FaxNumber: 7877659183
Practice Location
Address1: CLINICA DE LA ESCUELA DE MEDICINA
Address2: REPARTO METROPOLITANO SHOPPING AVE AMERICO MIRANDA
City: RIO PIEDRAS
State: PR
PostalCode: 00921
CountryCode: US
TelephoneNumber: 7877587908
FaxNumber: 7876251966
Other Information
ProviderEnumerationDate: 09/21/2010
LastUpdateDate: 08/06/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: Y
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RE0101X20554PRY Allopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism

No ID Information.


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