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Provider Information for 1508386814


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

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RAMON A SANTOS Social Worker


Sex: Male

NPI: 1508386814
Last Updated: 2022-04-23
Certification Date: 2022-04-23

Details

NameValue
NPI1508386814
Enumeration Date2017-06-27
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address PO BOX 776974
CHICAGO, IL 60677-6974
United States

Phone: 231-672-2119 | Fax:313-432-7759
 
Primary Practice Address 730 CESAR E CHAVEZ AVE
GRAND RAPIDS, MI 49503-4920
United States

Phone: 616-685-8400 | Fax:616-685-1322
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDMI1508386814
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 104100000X - Social Worker NY100115
Yes 104100000X - Social Worker MI6851113986