Provider Demographics
NPI:1982588695
Name:ROSA SANTIAGO, ALEXIS JAVIER
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:JAVIER
Last Name:ROSA SANTIAGO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:C33 CALLE B
Mailing Address - Street 2:
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00736-4115
Mailing Address - Country:US
Mailing Address - Phone:787-213-7444
Mailing Address - Fax:
Practice Address - Street 1:CARR 14, KM 12, BO. RINCON, SECTOR LOMAS
Practice Address - Street 2:
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736
Practice Address - Country:US
Practice Address - Phone:787-535-1001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program