Provider Demographics
NPI:1467332023
Name:SANTIAGO, FELIX J (PTA)
Entity type:Individual
Prefix:
First Name:FELIX
Middle Name:J
Last Name:SANTIAGO
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11076 CALLE GERANIO HACIENDA CONCORDIA
Mailing Address - Street 2:
Mailing Address - City:SANTA ISABEL
Mailing Address - State:PR
Mailing Address - Zip Code:00757-3110
Mailing Address - Country:US
Mailing Address - Phone:939-579-4652
Mailing Address - Fax:
Practice Address - Street 1:HACIENDA CONCORDIA #76 CALLE GERANIO
Practice Address - Street 2:
Practice Address - City:SANTA ISABEL
Practice Address - State:PR
Practice Address - Zip Code:00757
Practice Address - Country:US
Practice Address - Phone:939-579-4652
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1384208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation