Healthcare Provider Details

I. General information

NPI: 1649184490
Provider Name (Legal Business Name): RYAN SANTOS PARAMEDIC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 HIGH ST
TOPSFIELD MA
01983-1403
US

IV. Provider business mailing address

35 DERBY ST
GLOUCESTER MA
01930-2625
US

V. Phone/Fax

Practice location:
  • Phone: 978-879-9832
  • Fax:
Mailing address:
  • Phone: 978-879-9832
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License NumberP0904124
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: