Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Santiago Medical Group, Inc

Organization Pediatric Adolescent Medicine Physician · NPI 1790830339

Santiago Medical Group, Inc is a Pediatric Adolescent Medicine Physician in North Providence, Rhode Island. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

967 Mineral Spring Ave
North Providence, RI 02904-4934
Phone: (401) 312-0444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X

Record details

NPI number1790830339
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Miguel Fuentes — President · (401) 312-0444
NPI enumeratedJanuary 24, 2007
Last updated in NPPESJuly 15, 2009
Mailing address967 Mineral Spring Ave, North Providence, RI 02904-4934

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