Individual
DR. DANIEL LUIGI SANTA MARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21 SPURS LN, STE 300, SAN ANTONIO, TX 78240-1679
(210) 699-8326
(210) 561-7121
Mailing address
21 SPURS LN, STE 300, SAN ANTONIO, TX 78240-1679
(210) 699-8326
(210) 561-7121
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
M7593
TX
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
M7593
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12236521
CAQH
—
05
—
189393505
—
TX
01
—
8CT868
BCBS
TX
Enumeration date
10/26/2007
Last updated
09/10/2014
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