Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | M7593 | TX |
N | 2081S0010X | Sports Medicine | M7593 | TX |
N | 213ES0000X | Sports Medicine | M7593 | TX |
NPI | 1508045543 |
---|---|
Provider Name | Dr. Daniel Luigi Santa Maria |
First Address | San Antonio, TX 78240-1679 |
Second Address | San Antonio, TX 78240-1679 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2007 |
Last Update Date | 10/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
12236521 | CAQH (01) | |
189393505 | (05) | TX |
8CT868 | BCBS (01) | TX |