Individual
JOSE M. R. SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
608 E ORANGEBURG AVE, MODESTO, CA 95350-5513
(209) 529-2645
(209) 529-3024
Mailing address
608 E ORANGEBURG AVE, MODESTO, CA 95350-5513
(209) 529-2645
(209) 529-3024
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A52954
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A529540
—
CA
05
—
GR0099870
—
CA
Enumeration date
04/13/2006
Last updated
02/04/2010
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