De Los Angeles, Santiago Gancayco
De Los Angeles, Santiago Gancayco is an individual health care provider with primary practice located at 2120 Sarno Rd , Melbourne FL 32935-3084. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. De Los Angeles, Santiago Gancayco can be contacted via phone (321) 241-6800.Contact Information
Primary practice address
2120 Sarno Rd
Melbourne FL 32935-3084
Phone: (321) 241-6800
Fax: (321) 241-6888
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | ME65644 | Florida |
Profile Details
| NPI number | 1114092822 |
|---|---|
| LBN Legal business name | De Los Angeles, Santiago Gancayco |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Nov 30th, 2017 - about 7 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 | 1114092822 | NPPES |
| Florida | MEDICAID | 021329000 |
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