Minifrida Sibug Santiago
Nurse Practitioner - Gerontology
1515 Holcombe Blvd
Houston
, Texas 77030-4000
Minifrida Sibug Santiago
Nurse Practitioner - Gerontology
1515 Holcombe Blvd
Houston
, Texas 77030-4000
(713) 792-2991
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Minifrida Sibug Santiago
- Po Box 4439
- Houston, TX
- Zip : 77210-4439
- Phone : (713) 792-2991
Second Address
- Minifrida Sibug Santiago
- 1515 Holcombe Blvd
- Houston, TX
- Zip : 77030-4000
- Phone : (713) 792-6161
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Is Minifrida Sibug Santiago a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | AP145433 | TX |
National Provider Identifier
| NPI | 1023621505 |
|---|---|
| Provider Name | Minifrida Sibug Santiago |
| First Address | Houston, TX 77210-4439 |
| Second Address | Houston, TX 77030-4000 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/08/2020 |
| Last Update Date | 23/01/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 415743001 | (05) | TX |
| 415743002 | MEDICAID-CSHCN (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.