| Ruben De Los Santos Md Pa | |
|
1955 E Main St Eagle Pass TX 78852-4714 | |
| (830) 773-7474 | |
| (830) 872-2659 |
| Full Name | Ruben De Los Santos Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1955 E Main St, Eagle Pass, Texas |
| Authorized Official Name and Position | Ruben De Los Santos (PHYSICIAN) |
| Authorized Official Contact | 8307737474 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruben De Los Santos Md Pa 1955 E Main St Eagle Pass TX 78852-4714 Ph: (830) 773-7474 | Ruben De Los Santos Md Pa 1955 E Main St Eagle Pass TX 78852-4714 Ph: (830) 773-7474 |
| NPI Number | 1538337944 |
|---|---|
| Provider Enumeration Date | 02/19/2008 |
| Last Update Date | 01/14/2009 |
| Medicare PECOS PAC ID | 6002976776 |
|---|---|
| Medicare Enrollment ID | O20081125000711 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538337944 | NPI | - | NPPES |
| 127850904 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | H6735 (Texas) | Primary |
| Provider Name | Ruben De Los Santos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467534008 PECOS PAC ID: 7214995000 Enrollment ID: I20041227000594 |
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