Ricardo De Los Santos, MD | |
710 Williams St, Eagle Pass, TX 78852-5126 | |
(830) 773-1103 | |
(830) 757-8366 |
Full Name | Ricardo De Los Santos |
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Gender | Male |
Speciality | Pediatrics |
Location | 710 Williams St, Eagle Pass, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790990802 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | F3442 (Texas) | Primary |
Entity Name | Ricardo De Los Santos Md Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619091295 PECOS PAC ID: 1355622333 Enrollment ID: O20170105001841 |
Mailing Address | Practice Location Address |
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Ricardo De Los Santos, MD 710 Williams St, Eagle Pass, TX 78852-5126 Ph: (830) 773-1103 | Ricardo De Los Santos, MD 710 Williams St, Eagle Pass, TX 78852-5126 Ph: (830) 773-1103 |
Marvic Maria Taborda Alvarez, Pediatrics Medicare: Medicare Enrolled Practice Location: 4018 El Indio Hwy, Eagle Pass, TX 78852 Phone: 830-872-3460 Fax: 830-872-3470 | |
Dr. Gaston Ittay Zylberg, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2525 N Veterans Blvd, Eagle Pass, TX 78852 Phone: 830-773-8917 Fax: 830-773-6432 | |
Eduardo Jose Quintanilla Jerez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1975 N Veterans Blvd Ste 5, Eagle Pass, TX 78852 Phone: 830-773-9449 | |
Jacqueline Heredia Gracia, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2192 Rosita Valley Rd, Eagle Pass, TX 78852 Phone: 830-421-5349 Fax: 830-421-5417 | |
Dr. Guillermo Augusto Urueta, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2198 E Garrison St, Eagle Pass, TX 78852 Phone: 830-773-7662 Fax: 830-773-7664 | |
Dr. Janet E. Boone, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4018 El Indio Hwy, Eagle Pass, TX 78852 Phone: 830-872-3460 Fax: 830-872-3470 |