Individual
DR. RAFAEL MANUEL SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 539-9858
Mailing address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
H5625
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
R9773
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163091501
—
TX
Enumeration date
09/09/2005
Last updated
09/07/2021
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