Jose Santiago Subauste in Jackson - Endocrinology, Diabetes & Metabolism

Jose Santiago Subauste - NPI 1194758292

Jose Santiago Subauste is a Endocrinology, Diabetes & Metabolism in Jackson, Mississippi. Jose Santiago Subauste practices all healthcare services and medical treatments related to Endocrinology, Diabetes & Metabolism. The NPI Number for Jose Santiago Subauste is 1194758292. The last update date is 2012-06-15.

Jose Santiago Subauste's current location address is 1500 E Woodrow Wilson Ave, Jackson, Mississippi. You can contact this provider via phone number 6013624471 and fax number 6013641390. The mailing address for Jose Santiago Subauste is 1500 E Woodrow Wilson Ave, Jackson, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Jose Santiago Subauste
Address 1500 E Woodrow Wilson Ave, Jackson, Mississippi
Phone Number 6013624471
Fax Number 6013641390
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1194758292
Provider Enumeration Date 2006-07-09
Last Updated Date 2012-06-15

Provider Mailing Address Detail

Address 1500 E Woodrow Wilson Ave
City Jackson
State Mississippi (MS)
Post Code 392165116
Phone Number 6013624471
Fax Number 6013641390

Provider's Primary Taxonomy Detail

Speciality Endocrinology, Diabetes & Metabolism
Taxonomy 207Re0101X
Licence No 16940
Definition:
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and men

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
512I110033 MS PTAN
122769 MS --

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FAQs about Jose Santiago Subauste

What is the unique 10-digit identification code issued to Jose Santiago Subauste by the Centers for Medicare & Medicaid Services?

The Jose Santiago Subauste has been assigned the NPI (National Provider Identifier) 1194758292 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Jose Santiago Subauste is physically located?

The Jose Santiago Subauste is physically situated at the following address: 1500 E Woodrow Wilson Ave, Jackson, MS, 392165116.

What is Jose Santiago Subauste's area of expertise and its corresponding taxonomy classification?

The Jose Santiago Subauste's field of specialization is Endocrinology, Diabetes & Metabolism, and it falls under the taxonomy code 207Re0101X, which categorizes healthcare providers based on their areas of practice.

On what date did the Jose Santiago Subauste receive the assignment of its 1194758292 from the Centers for Medicare & Medicaid Services?

The Jose Santiago Subauste was issued its 1194758292 by the Centers for Medicare & Medicaid Services on 2006-07-09.

When was the information related to Jose Santiago Subauste most recently updated or refreshed?

The details pertaining to the Jose Santiago Subauste, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-06-15.

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