| Daniel R. Santillano Md. Pllc | |
|
1150 N Loop 1604 W # 108-402 San Antonio TX 78248-4552 | |
| (210) 326-0398 | |
| (210) 558-6289 |
| Full Name | Daniel R. Santillano Md. Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1150 N Loop 1604 W # 108-402, San Antonio, Texas |
| Authorized Official Name and Position | Daniel R Santillano (OWNER) |
| Authorized Official Contact | 2103260398 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel R. Santillano Md. Pllc 1150 N Loop 1604 W # 108-402 San Antonio TX 78248-4552 Ph: (210) 326-0398 | Daniel R. Santillano Md. Pllc 1150 N Loop 1604 W # 108-402 San Antonio TX 78248-4552 Ph: (210) 326-0398 |
| NPI Number | 1790276400 |
|---|---|
| Provider Enumeration Date | 05/29/2018 |
| Last Update Date | 03/14/2024 |
| Medicare PECOS PAC ID | 7416205661 |
|---|---|
| Medicare Enrollment ID | O20180803000194 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790276400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Daniel Roman Santillano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508903899 PECOS PAC ID: 1153483805 Enrollment ID: I20081215000573 |
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