Individual
MR. ISAIAS LOMITENG SANTOS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
388 YPAO RD, TAMUNING, GU 96913-3701
(671) 646-8881
(671) 648-2548
Mailing address
388 YPAO RD, TAMUNING, GU 96913-3701
(671) 646-8881
(671) 648-2548
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5501011274
MI
225100000X
Physical Therapist
Primary
PT-115
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H112803
—
GU
01
—
H113391
MEDICARE PTAN
GU
Enumeration date
08/08/2007
Last updated
04/25/2023
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