Individual
ALEJANDRO DE LOS SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 606-4129
Mailing address
PO BOX 1169, SAN GERMAN, PR 00683-1169
(787) 538-2306
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
P4300
TX
208D00000X
General Practice Physician
00000
PR
208M00000X
Hospitalist Physician
P4300
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01105290
MEDICARE RAIL ROAD
TX
Enumeration date
08/06/2008
Last updated
07/24/2024
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