Individual
ANGELITO G SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
548 S MARINE CORPS DR, TAMUNING, GU 96913-3539
(671) 646-5825
(671) 646-0556
Mailing address
821 RENMAR DRIVE, PLANTATION, FL 33317-4219
(954) 306-8411
(954) 306-8411
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
37917
IA
207P00000X
Emergency Medicine Physician
40092
AZ
207P00000X
Emergency Medicine Physician
C53333
CA
207P00000X
Emergency Medicine Physician
Primary
M-1605
GU
208000000X
Pediatrics Physician
ME0065167
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252078800
—
FL
01
—
32882
BCBS
FL
Enumeration date
07/04/2006
Last updated
11/04/2009
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