Individual
DR. JUAN ANTONIO SANTAMARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 N 175TH ST, OMAHA, NE 68118-3579
(402) 559-5600
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Q9021
TX
2086X0206X
Surgical Oncology Physician
Primary
32613
NE
Other
Enumeration date
07/16/2012
Last updated
12/15/2020
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