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RICARDO DE LOS SANTOS M.D.P.A. NPI 1619091295


NPI Information

NPI: 1619091295
Provider Name: RICARDO DE LOS SANTOS, M.D.,P.A.

Doing Business As: PEDIATRIC SPECIALTY CLINIC & LAB #2

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
2198 E. GARRISON ST.
STE. 1
EAGLE PASS, TX
ZIP 78852
Phone: (830) 773-1103
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RICARDO DE LOS SANTOS, M.D.,P.A. is a pediatrics in Eagle Pass, TX. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. RICARDO DE LOS SANTOS, M.D.,P.A. NPI is 1619091295. The provider is registered as an organization entity type.
The provider Is Doing Business As Pediatric Specialty Clinic & Lab #2.

The provider's business location address is:

2198 E. GARRISON ST.
STE. 1
EAGLE PASS, TX
ZIP 78852-076
Phone: (830) 773-1103
Fax: (830) 757-8366

The provider's authorized official is Debra W. De Los Santos .
The authorized official title is Ceo and has the following contact phone number (830) 773-1103.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 11/16/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1291U00000XClinical Medical Laboratory45D0506351TEXASNo
2208000000XPediatricsF3442TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C15128MEDICARE UPINTEXAS
2111923201MEDICAIDTEXAS
3363381001MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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