Healthcare Provider Details

I. General information

NPI: 1407817711
Provider Name (Legal Business Name): ENCARNITA IGNACIO SANTOS-TECSON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. ENCARNITA INGNACIO SANTOS

II. Dates (important events)

Enumeration Date: 03/29/2006
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1340 S DIVISION ST STE 301
SALISBURY MD
21804-7095
US

IV. Provider business mailing address

PO BOX 1978
SALISBURY MD
21802-1978
US

V. Phone/Fax

Practice location:
  • Phone: 410-543-2060
  • Fax: 410-543-2051
Mailing address:
  • Phone: 410-749-1015
  • Fax: 410-749-0654

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD0058662
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: