Provider Demographics
NPI:1508200502
Name:SANTAMARINA-FOJO, SILVIA (MD)
Entity Type:Individual
Prefix:DR
First Name:SILVIA
Middle Name:
Last Name:SANTAMARINA-FOJO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11410 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-1234
Mailing Address - Country:US
Mailing Address - Phone:301-437-4536
Mailing Address - Fax:301-299-9142
Practice Address - Street 1:11410 RIVER RD
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-1234
Practice Address - Country:US
Practice Address - Phone:301-437-4536
Practice Address - Fax:301-299-9142
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-20
Last Update Date:2013-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0037893207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine