Miro, Santiago
Miro, Santiago is an sole proprietor health care provider with primary practice located at 1840 Amherst St , Winchester VA 22601-2808. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Miro, Santiago can be contacted via phone (540) 536-8750.Contact Information
Primary practice address
1840 Amherst St
Winchester VA 22601-2808
Phone: (540) 536-8750
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 235173 | Massachusetts |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 235173 | Massachusetts |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | MD435000 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 27887 | West Virginia |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 0101254528 | Virginia |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD435000 | Pennsylvania |
Profile Details
| NPI number | 1689859829 |
|---|---|
| LBN Legal business name | Miro, Santiago |
| Credentials | B.S., M.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 7th, 2008 |
| Last updated | Mar 9th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689859829 | NPPES |
| West Virginia | MEDICAID | 1689859829 | |
| West Virginia | MEDICAID | 1689859829 | |
| West Virginia | MEDICAID | 982902400 | |
| West Virginia | Other | 49887 |
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