Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Santiago Medical Group, Inc

Organization Pediatric Adolescent Medicine Physician · NPI 1790830339

Santiago Medical Group, Inc provides Pediatric Adolescent Medicine Physician services 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 Not confirmed with CMS for 17 years — call before visiting
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

Other providers in North Providence