Individual
SANTOS EMMANUEL SANTOS FONTANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(787) 981-7040
Mailing address
HC 2 BOX 48152, VEGA BAJA, PR 00693-9678
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
LP05438
RI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
PR
Other
Enumeration date
08/30/2019
Last updated
06/25/2021
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