Individual
CARLA MICHELLE SANTOS ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(787) 613-6716
Mailing address
7615 KENNEDY HL, SAN ANTONIO, TX 78235-4437
(210) 283-6998
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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