Correa Bastianon Santiago, Raphael Augusto

Correa Bastianon Santiago, Raphael Augusto is an individual health care provider with primary practice located at 13123 E 16Th Ave , Aurora CO 80045-7106. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Correa Bastianon Santiago, Raphael Augusto can be contacted via phone (954) 505-9409.

Contact Information

Primary practice address
13123 E 16Th Ave Aurora CO 80045-7106
Phone: (954) 505-9409
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 34231HSE Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X TL.0009866 Colorado

Profile Details

NPI number 1922794403
LBN Legal business name Correa Bastianon Santiago, Raphael Augusto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2023
Last updated Jun 30th, 2023 - about 2 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.

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