Provider Demographics
NPI:1225241706
Name:ROCHESTER RHEUMATOLOGY RESEARCH CENTER PLLC
Entity Type:Organization
Organization Name:ROCHESTER RHEUMATOLOGY RESEARCH CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DELFIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-852-2277
Mailing Address - Street 1:135 BARCLAY CIR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-4599
Mailing Address - Country:US
Mailing Address - Phone:248-852-2277
Mailing Address - Fax:248-852-2552
Practice Address - Street 1:135 BARCLAY CIR
Practice Address - Street 2:SUITE 100
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-4599
Practice Address - Country:US
Practice Address - Phone:248-852-2277
Practice Address - Fax:248-852-2552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty