Santiago, Luis

Santiago, Luis is an individual health care provider with primary practice located at 3Acr Bldg 1650, Barkley Ave , Ft. Carson CO 80913. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Santiago, Luis can be contacted via phone (719) 526-6699.

Contact Information

Primary practice address
3Acr Bldg 1650, Barkley Ave Ft. Carson CO 80913
Phone: (719) 526-6699
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.0002445 Colorado

Profile Details

NPI number 1770526303
LBN Legal business name Santiago, Luis
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jul 27th, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1770526303 NPPES
Colorado MEDICAID 03025551

Popular Providers