Individual
DR. NESTOR DANIEL SANTACRUZ
Active
Individual
DR. NESTOR DANIEL SANTACRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101028564
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010370990
—
VA
01
—
12134
OPTIMA HEALTH
—
01
—
249495
ANTHEM BCBS
VA
Enumeration date
05/24/2005
Last updated
10/21/2019
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