Provider Demographics
NPI:1497956619
Name:SANTOS PT SERVICE
Entity Type:Organization
Organization Name:SANTOS PT SERVICE
Other - Org Name:ZAPATA COUNTY MEDICAL REHAB SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ANGELA
Authorized Official - Last Name:SANTOS GARNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-712-0770
Mailing Address - Street 1:4205 BOBBULLOCK HWY LOOP 20
Mailing Address - Street 2:STE.14
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78046
Mailing Address - Country:US
Mailing Address - Phone:956-712-0770
Mailing Address - Fax:956-712-0776
Practice Address - Street 1:4205 BOBBULLOCK HWY LOOP 20
Practice Address - Street 2:STE 14
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78046
Practice Address - Country:US
Practice Address - Phone:956-712-0770
Practice Address - Fax:956-712-0776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy