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NPI Code Detail

MEDICARE: DR. MICHAEL ARTHUR SANTOS M.D.

MEDICARE: DR. MICHAEL ARTHUR SANTOS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist PhysicianMD457759PA
2207R00000XInternal Medicine Physician1023662MA
3207R00000XInternal Medicine PhysicianMD457759PA
4207R00000XInternal Medicine PhysicianMD16659RI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1531487FLTOTHERPAMEDICARE

General Provider Information

NPI Number : 1316280639
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL ARTHUR SANTOS M.D.
Provider Business Mailing Address
First Line : 117 ELLENFIELD ST STE 101
Second Line :
City : PROVIDENCE
State : RI
Zip : 02905-4541
Country : US
Telephone Number : 401-444-6779
Fax Number : 401-444-6912
Provider Business Practice Location Address
First Line : 252 S 4TH ST
Second Line :
City : LEBANON
State : PA
Zip : 17042-6111
Country : US
Telephone Number : 717-270-4876
Fax Number : 717-270-3875
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2013
Last Update Date : 06/22/2026

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