Individual
JORGE SANTIBANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 MEDICAL PKWY, CARSON CITY, NV 89703-4625
(775) 445-8795
(775) 445-5175
Mailing address
PO BOX 3299, CARSON CITY, NV 89702-3299
(775) 222-0044
(888) 700-0187
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD24602
OR
208M00000X
Hospitalist Physician
13739
NV
208M00000X
Hospitalist Physician
Primary
7746287-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227344
—
OR
Enumeration date
12/01/2005
Last updated
03/09/2026
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