Active NPI
Gerald Santos, DO
- Student in an Organized Health Care Education/Training Program
- San Antonio, TX
National Provider Identifier
1780042481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- BP10089389
- Practice address
- 7615 Kennedy HL BLDG 1
San Antonio, TX 78235-4438 - Phone
- (210) 890-4243
- NPI assigned
- Feb 9, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | BP10089389 | TX | Primary |
Addresses
Primary practice location
7615 Kennedy HL BLDG 1
San Antonio, TX 78235-4438
Mailing address
3703 Manoway Bay
San Antonio, TX 78223-4630
Phone (630) 800-9491
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10089389 | TX | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719705600000",
"number": "1780042481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3703 MANOWAY BAY",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782234630",
"telephone_number": "630-800-9491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7615 KENNEDY HL BLDG 1",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782354438",
"telephone_number": "210-890-4243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "GERALD",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-09",
"last_updated": "2024-06-30",
"certification_date": "2024-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "BP10089389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.