San Pedro, Gerardo Santos

San Pedro, Gerardo Santos is an individual health care provider with primary practice located at 2400 Hospital Dr Ste 340 , Bossier City LA 71111-2387. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. San Pedro, Gerardo Santos can be contacted via phone (318) 747-2277.

Contact Information

Primary practice address
2400 Hospital Dr Ste 340 Bossier City LA 71111-2387
Phone: (318) 747-2277
Fax: (318) 747-2217
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 11657R Louisiana

Profile Details

NPI number 1336166255
LBN Legal business name San Pedro, Gerardo Santos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated Apr 22nd, 2020 - about 6 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 1336166255 NPPES
Louisiana MEDICAID 1680877

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