Individual
CECILIA L SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5875 BREMO RD, SUITE 709, RICHMOND, VA 23226-1934
(804) 673-8160
(804) 673-8165
Mailing address
5875 BREMO RD, SUITE 709, RICHMOND, VA 23226-1934
(804) 673-8160
(804) 673-8165
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
222073-1
NY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
0101244417
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000086819
GHI HMO
—
05
—
02309497
—
NY
01
—
118512
MVP
—
01
—
C06695
GROUP PTAN
VA
Enumeration date
09/01/2006
Last updated
08/02/2012
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