Basic Information
| Provider Information | |||||||||
| NPI: | 1952798001 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SANTOS | ||||||||
| FirstName: | HECTOR | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1700 E. SAUNDERS | ||||||||
| Address2: | SUITE B680 | ||||||||
| City: | LAREDO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 78041 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9567965000 | ||||||||
| FaxNumber: | 9567964933 | ||||||||
| Practice Location | |||||||||
| Address1: | 1700 E. SAUNDERS | ||||||||
| Address2: | SUITE B680 | ||||||||
| City: | LAREDO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 78041 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9567965000 | ||||||||
| FaxNumber: | 9567964933 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/15/2015 | ||||||||
| LastUpdateDate: | 03/27/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 03/27/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | BP10052375 | TX | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | R5204 | TX | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.