Individual provider · Type 1 NPI

Maria Carissa Ferrer Santos Vistan, MD

Student in an Organized Health Care Education/Training Program · San Jose, CA

NPI number 1992267116 Active

Practice location

751 S Bascom Ave
San Jose, CA 95128-2604

Call (408) 885-5110 Map

Fax (408) 885-5117

Mailing address

307 Castile Way
South San Francisco, CA 94080-5667

Specialties and licenses

TaxonomyCodeLicense
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 1992267116

Maria Carissa Ferrer Santos Vistan, MD's National Provider Identifier is 1992267116, issued on Apr 5, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Jose, CA. The record was last updated on Apr 5, 2019.