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Individual provider Active NPI

Ruben De Los Santos, MD PA

  • Internal Medicine Physician
  • Eagle Pass, TX
National Provider Identifier
1467534008
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H6735 Issued in TX
Practice address
1955 East Main St
Eagle Pass, TX 78852-4714
Phone
(830) 773-7474
Fax
(830) 773-2699
NPI assigned
Oct 20, 2006
Last updated
Jul 1, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X H6735 TX Primary

Addresses

Primary practice location

1955 East Main St
Eagle Pass, TX 78852-4714

Mailing address

1955 East Main St
Eagle Pass, TX 78852-4714
Phone (830) 773-7474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041227000594 TX Practitioner - Internal Medicine 7214995000 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical Branch at Galveston, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1955 E Main St
Eagle Pass, TX 78852-4714
Phone (830) 773-7474

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
H6735TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Sergio Zamora, PA CurrentSince Jan 14, 2022 Accepting new patients
Ruben de Los Santos MD PA Internal Medicine CurrentSince Nov 1, 2004 Accepting new patients
Southern Physician Group Management LLC Internal Medicine CurrentSince Jun 25, 2021 Accepting new patients
Southwest Medical Associates, Inc. CurrentSince Jan 1, 2019 Accepting new patients
Sotx Hospitalist Associates, PLLC CurrentSince Jan 14, 2022 Accepting new patients
Fort Duncan Medical Center L.P Past Accepting new patients
Val Verde County Hospital District Past Accepting new patients
West Wharton County Hospital District Past Accepting new patients
Fort Duncan Medical Center LP Past Accepting new patients

Locations

1955 E Main St
Eagle Pass, TX 78852
Phone (830) 773-7474

2450 El Indio Hwy
Eagle Pass, TX 78852
Phone (210) 807-8796

3333 N Foster Maldonado Blvd
Eagle Pass, TX 78852
Phone (830) 733-5321

3333 N Foster Maldonado Blvd
#B
Eagle Pass, TX 78852

1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281

5460 Babcock Rd
Ste 120
San Antonio, TX 78240
Phone (210) 643-7098

Interoperability endpoints

  • Direct secure messaging: ruben.de.los.santos.1@27356.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Maverick Nursing and Rehabilitation CenterEagle Pass, TX, CCN 676133 Skilled nursing facility Adp of the SNF Sep 6, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1467534008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 EAST MAIN ST",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788524714",
            "telephone_number": "830-773-7474",
            "fax_number": "830-773-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 EAST MAIN ST",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788524714",
            "telephone_number": "830-773-7474",
            "fax_number": "830-773-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LOS SANTOS",
        "first_name": "RUBEN",
        "name_prefix": "Dr.",
        "credential": "MD PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H6735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Pass, TX

Sources for this page

Verify at the official NPI Registry.