Provider Demographics
NPI:1043683840
Name:VERGNE SANTIAGO, NORMA I (MD)
Entity type:Individual
Prefix:DR
First Name:NORMA
Middle Name:I
Last Name:VERGNE SANTIAGO
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Gender:F
Credentials:MD
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Mailing Address - Street 1:109 PALACIOS DEL PRADO
Mailing Address - Street 2:
Mailing Address - City:JUANA DIAZ
Mailing Address - State:PR
Mailing Address - Zip Code:00795-2118
Mailing Address - Country:US
Mailing Address - Phone:787-704-9341
Mailing Address - Fax:787-260-0480
Practice Address - Street 1:100 CALLE COMERCIO STE 5
Practice Address - Street 2:
Practice Address - City:JUANA DIAZ
Practice Address - State:PR
Practice Address - Zip Code:00795-1679
Practice Address - Country:US
Practice Address - Phone:787-260-0480
Practice Address - Fax:787-260-0480
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-03
Last Update Date:2024-06-25
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Provider Licenses
StateLicense IDTaxonomies
PR19221207RE0101X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism