Provider Demographics
NPI:1306395447
Name:SANTAMARIA, ROBIN (APRN)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:SANTAMARIA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18587 SIGMA RD STE 260
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4205
Mailing Address - Country:US
Mailing Address - Phone:210-314-4564
Mailing Address - Fax:
Practice Address - Street 1:18587 SIGMA RD STE 260
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4205
Practice Address - Country:US
Practice Address - Phone:210-314-4564
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-30
Last Update Date:2016-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP130121363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health