Provider Demographics
NPI:1023461423
Name:SANTOS, ANTONIO MORAL (RCP)
Entity type:Individual
Prefix:
First Name:ANTONIO
Middle Name:MORAL
Last Name:SANTOS
Suffix:
Gender:M
Credentials:RCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 HUBBELL PL
Mailing Address - Street 2:207
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-1965
Mailing Address - Country:US
Mailing Address - Phone:206-992-9214
Mailing Address - Fax:
Practice Address - Street 1:1400 HUBBELL PL APT 207
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101
Practice Address - Country:US
Practice Address - Phone:206-992-9214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-20
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALR00001808227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
WALR00001808OtherWA STATE RCP LICENSE