Maria Santiago-Sosa
Individual provider Active NPI Case Management Registered Nurse · Liberty, GA
NPI 1962861948 · NPPES record last updated Feb 18, 2016
Key facts
- NPI
- 1962861948
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Management Registered Nurse 163WC0400X
- License
- 002053 (PR)
- Practice address
- 192 Lindquist Rd, Ft Stewart
Hawks Clinics,
Liberty, GA 31314 - Phone
- (912) 435-5564
- Fax
- (912) 435-6310
- NPI assigned
- Feb 18, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9375475 | FL | MD | Registered Nurse |
| 002053 | PR | MD | Case Management Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9375475 | FL | |
| Case Management Registered Nurse | 163WC0400X | 002053 | PR | Yes |
Addresses
Primary practice location
192 Lindquist Rd, Ft Stewart
Hawks Clinics,
Liberty, GA 31314
Mailing address
709 Wickham Dr
Evans, GA 30809-7458
Phone (912) 435-5564
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.