Santos, Jose M. R.

Santos, Jose M. R. is an individual health care provider with primary practice located at 608 E Orangeburg Ave , Modesto CA 95350-5513. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Santos, Jose M. R. can be contacted via phone (209) 529-2645.

Contact Information

Primary practice address
608 E Orangeburg Ave Modesto CA 95350-5513
Phone: (209) 529-2645
Fax: (209) 529-3024
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X A52954 California

Profile Details

NPI number 1073577573
LBN Legal business name Santos, Jose M. R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Feb 4th, 2010 - about 14 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 1073577573 NPPES
California MEDICAID GR0099870
California MEDICAID 00A529540

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