MEDICARE: ROCHESTER RHEUMATOLOGY RESEARCH CENTER PLLC

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
1	207RR0500X	Rheumatology Physician

General Provider Information

NPI Number	:	1225241706
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROCHESTER RHEUMATOLOGY RESEARCH CENTER PLLC

Provider Business Mailing Address
First Line	:	135 BARCLAY CIR
Second Line	:	SUITE 100
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-4599
Country	:	US
Telephone Number	:	248-852-2277
Fax Number	:	248-852-2552

Provider Business Practice Location Address
First Line	:	135 BARCLAY CIR
Second Line	:	SUITE 100
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-4599
Country	:	US
Telephone Number	:	248-852-2277
Fax Number	:	248-852-2552

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DELFIN SANTOS
Credential	:	MD
Telephone Number	:	248-852-2277

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	06/20/2008

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