MEDICARE: SANTOS PT SERVICES, INC.

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	225100000X	Physical Therapist	1068369	TX

General Provider Information

NPI Number	:	1932154499
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANTOS PT SERVICES, INC.

Provider Business Mailing Address
First Line	:	4205 BOB BULLOCK HIGHWAY
Second Line	:	LOOP 20, SUITE 14
City	:	LAREDO
State	:	TX
Zip	:	78046
Country	:	US
Telephone Number	:	956-712-0770
Fax Number	:	956-712-0776

Provider Business Practice Location Address
First Line	:	4205 BOB BULLOCK HIGHWAY
Second Line	:	LOOP 20, SUITE 14
City	:	LAREDO
State	:	TX
Zip	:	78046
Country	:	US
Telephone Number	:	956-712-0770
Fax Number	:	956-712-0776

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. M ANGELA SANTOS-GARNER
Credential	:	PT
Telephone Number	:	956-712-0770

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	08/22/2020

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Directions to “SANTOS PT SERVICES, INC. ” Practice Location

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