Santiago-Barouhas, Ivelisse
Santiago-Barouhas, Ivelisse is an sole proprietor health care provider with primary practice located at 1102 W Trenton Rd , Edinburg TX 78539-9105. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Santiago-Barouhas, Ivelisse can be contacted via phone (956) 388-6000.Contact Information
Primary practice address
1102 W Trenton Rd
Edinburg TX 78539-9105
Phone: (956) 388-6000
Fax: (956) 289-2956
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | G9042 | Texas |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | G9042 | Texas |
Profile Details
NPI number | 1316154875 |
---|---|
LBN Legal business name | Santiago-Barouhas, Ivelisse |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 16th, 2007 |
Last updated | Nov 12th, 2020 - about 4 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 | 1316154875 | NPPES |
Texas | MEDICAID | 135088604 | |
Texas | Other | 1F7941 | |
Texas | MEDICAID | 135088608 | |
Texas | MEDICAID | 135088609 | |
Texas | Other | 1F7941 | |
Texas | MEDICAID | 135088610 |
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