Bianca Ivette Santiago in Philadelphia - Physician Assistant
Bianca Ivette Santiago - NPI 1952385197
Bianca Ivette Santiago is a Physician Assistant in Philadelphia, Pennsylvania. Bianca Ivette Santiago practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Bianca Ivette Santiago is 1952385197. The last update date is 2014-10-21.
Bianca Ivette Santiago's current location address is 100 E Lehigh Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2157071118 and fax number 2157071120. The mailing address for Bianca Ivette Santiago is 100 E Lehigh Ave, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bianca Ivette Santiago |
|---|---|
| Address | 100 E Lehigh Ave, Philadelphia, Pennsylvania |
| Phone Number | 2157071118 |
| Fax Number | 2157071120 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1952385197 |
|---|---|
| Provider Enumeration Date | 2005-12-01 |
| Last Updated Date | 2014-10-21 |
Provider Mailing Address Detail
| Address | 100 E Lehigh Ave |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191820933 |
| Phone Number | 2157071118 |
| Fax Number | 2157071120 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | MA051267 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 121986 | MEDICARE | ||
| 597586 | PA | MEDICARE GROUP |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Bianca Ivette Santiago by the Centers for Medicare & Medicaid Services?
The Bianca Ivette Santiago has been assigned the NPI (National Provider Identifier) 1952385197 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Bianca Ivette Santiago's facilities are situated?
The facilities of Bianca Ivette Santiago are physically located at the following address: 100 E Lehigh Ave, Philadelphia, PA, 191820933.
What is Bianca Ivette Santiago's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bianca Ivette Santiago's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date was the 1952385197 assigned to Bianca Ivette Santiago?
The Bianca Ivette Santiago was issued its 1952385197 on 2005-12-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Bianca Ivette Santiago receive the assignment of its 1952385197 from the Centers for Medicare & Medicaid Services?
The Bianca Ivette Santiago was issued its 1952385197 by the Centers for Medicare & Medicaid Services on 2005-12-01.