Individual provider · Type 1 NPI

Santos Emmanuel Santos Fontanez

Student in an Organized Health Care Education/Training Program · Providence, RI

NPI number 1811545015 Active

Practice location

593 Eddy St
Providence, RI 02903-4923

Mailing address

HC 2 Box 48152
Vega Baja, PR 00693-9678

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician 207T00000XLP05438 (RI)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1811545015

Santos Emmanuel Santos Fontanez's National Provider Identifier is 1811545015, issued on Aug 30, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Providence, RI. The record was last updated on Jun 25, 2021.