Individual provider · Type 1 NPI

Israel Duran Santibanez, MD

Student in an Organized Health Care Education/Training Program · Middletown, CT

NPI number 1073215224 Active

Practice location

90 S Main St Ste 201
Middletown, CT 06457-3649

Call (860) 358-6486 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X78697 (CT)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1073215224

Israel Duran Santibanez, MD's National Provider Identifier is 1073215224, issued on Mar 21, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Middletown, CT. The record was last updated on Jun 24, 2024.