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Dr. Jose Adriano Santiago, M.D.

Internal Medicine in Montclair, CA. Individual provider (NPI-1).

NPI number1790763191
StatusActive
Last updated in NPPESJul 13, 2022

Details

NPI
1790763191
Entity type
Individual (NPI-1)
Name
Dr. Jose Adriano Santiago
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jan 5, 2006
Certification date
Jan 6, 2022
Last updated
Jul 13, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineME81711FLYes

Practice location

9525 Monte Vista Ave Ste 105
Montclair, CA 91763-2231

Phone 909-626-1205

Mailing address

9525 Monte Vista Ave Ste 105
Montclair, CA 91763-2231

Phone 909-625-1205

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