Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | D0014955 | MD |
Y | 2080N0001X | Neonatal-Perinatal Doctor | D0014955 | MD |
NPI | 1124088182 |
---|---|
Provider Name | Dr. Arturo Q Santos |
First Address | Baltimore, MD 21229-5201 |
Second Address | Baltimore, MD 21229-5201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2006 |
Last Update Date | 09/04/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D78159 | (02) | |
K51935153403 | CAREFIRST (01) | MD |
W6620112 | CAREFIRST (01) | DC |