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General NPI Number Information
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NPI Number | 1386867497
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Entity Type | Organization
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Legal Business Name | RAFAEL M. SANTIAGO, M.D.
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 225 E SONTERRA BLVD STE 217
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City | SAN ANTONIO
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State | TX
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Zip | 78258-3886
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Country | US
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Telephone | 210-481-3119
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Fax | 210-497-2071
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Provider Business Mailing Address
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Address Line | 225 E SONTERRA BLVD STE 217
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City | SAN ANTONIO
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State | TX
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Zip | 78258-3886
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Country | US
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Telephone | 210-481-3119
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Fax | 210-497-2071
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MRS. PATRICIA CALDAS SANTIAGO
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Credential |
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Telephone | 210-481-3119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | H5625
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License Number State | TX
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