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Individual
DR. SANTIAGO ENRIQUE ENCALADA
Active
Individual
DR. SANTIAGO ENRIQUE ENCALADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
R4834
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184989428
—
WI
05
—
378085001
—
TX
Enumeration date
07/12/2012
Last updated
02/02/2024
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