Rafael A De Los Santos, MD

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

095425 Issued in NY

Practice address

9 William St
Great Neck, NY 11023-1120

Phone

(516) 466-5080

NPI assigned

Sep 13, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379030400000",
    "number": "1366877946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WILLIAM ST",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231120",
            "telephone_number": "516-466-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 WILLIAM ST",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231120",
            "telephone_number": "516-466-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LOS SANTOS",
        "first_name": "RAFAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "095425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Koorosh Dawoodi, MD
• Keren Day, D.C.
• Dayop of North Nassau, Inc
• Denise Dazzo, DPT
• James Gerard De Guido, P.T.
• Sheela P De Oca, PT
• Dwight Carlton De Risi, M.D.
• Michelle Dean, PSY.D.
• Joseph A. Debe, D.C., D.A.C.B.N., C.
• Deborah L Singer, LCSW, PLLC

• Primary Care Clinic/Center in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.