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
Fax: (956) 289-2956
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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