Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | Q9021 | TX |
N | 208600000X | Surgeon | Q9021 | TX |
Y | 2086X0206X | Surgical Oncologist | 32613 | NE |
NPI | 1134474141 |
---|---|
Provider Name | Dr. Juan Antonio Santamaria |
First Address | Omaha, NE 68198-8102 |
Second Address | Omaha, NE 68118-3579 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2012 |
Last Update Date | 15/12/2020 |