Santiago, Rafael Manuel
Santiago, Rafael Manuel is an sole proprietor health care provider with primary practice located at 3551 Roger Brooke Dr , San Antonio TX 78234-4504. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Santiago, Rafael Manuel can be contacted via phone (210) 539-9858.Contact Information
Primary practice address
3551 Roger Brooke Dr
San Antonio TX 78234-4504
Phone: (210) 539-9858
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | H5625 | Texas |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | R9773 | Missouri |
Profile Details
| NPI number | 1053305508 |
|---|---|
| LBN Legal business name | Santiago, Rafael Manuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 9th, 2005 |
| Last updated | Sep 7th, 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 | 1053305508 | NPPES |
| Texas | MEDICAID | 163091501 |
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