Giraldo, Santiago

Giraldo, Santiago is an individual health care provider with primary practice located at 8050 E Highway 191 Suite 200, Odessa TX 79765-8613. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Giraldo, Santiago can be contacted via phone (432) 337-5411.

Contact Information

Primary practice address
8050 E Highway 191 Suite 200 Odessa TX 79765-8613
Phone: (432) 337-5411
Fax: (432) 561-5014
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 055049 Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Q3519 Texas

Profile Details

NPI number 1669473559
LBN Legal business name Giraldo, Santiago
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Apr 9th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669473559 NPPES
Georgia MEDICAID 769705413B
Georgia Other P00214581
Georgia MEDICAID 769705413A

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