Carrasco-Santiago, Manuel R
Carrasco-Santiago, Manuel R is an sole proprietor health care provider with primary practice located at 1501 W 11Th Pl Suite # 304, Big Spring TX 79720-4119. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Hospitals / Psychiatric Hospital. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Carrasco-Santiago, Manuel R can be contacted via phone (432) 714-4500.Contact Information
Primary practice address
1501 W 11Th Pl Suite # 304
Big Spring TX 79720-4119
Phone: (432) 714-4500
Fax: (432) 714-4502
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | J5275 | Texas |
| Hospitals / Psychiatric Hospital | 283Q00000X | J5275 | Texas |
Profile Details
| NPI number | 1932109196 |
|---|---|
| LBN Legal business name | Carrasco-Santiago, Manuel R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Dec 29th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932109196 | NPPES |
| Texas | MEDICAID | 134103409 |
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