Dr. Camilo Santiago, MD
Surgery in Muncie, IN. Individual provider (NPI-1).
NPI number1124089313
StatusActive
Last updated in NPPESFeb 16, 2023
Details
- NPI
- 1124089313
- Entity type
- Individual (NPI-1)
- Name
- Dr. Camilo Santiago
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2006
- Certification date
- Feb 16, 2023
- Last updated
- Feb 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 01081449A | IN | Yes |
| 208600000X | Surgery | 0101237102 | VA | |
| 208600000X | Surgery | 47614 | KY |
Other names
- Camilo S Rivera (Other Name)
Practice location
2401 W University AveMuncie, IN 47303-3428
Phone 765-289-6381 · Fax 765-448-7646
Mailing address
250 N Shadeland AveIndianapolis, IN 46219-4959
Other practice locations
421 W 1st St
Bloomington, IN 47403
Bloomington, IN 47403
Phone 812-332-3531 · Fax 812-332-4673
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