Most Relevant Information
Provider Data
| NPI Number: | 1003503830 |
| Provider Name: | CARLA MICHELLE SANTOS ORTIZ MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/21/2023 |
| Last Updated: | 04/21/2023 |
Provider Practice Location
4502 MEDICAL DR
SAN ANTONIO
TX
782294402
Practice Location Phone/Fax
| Phone: | 7876136716 |
| Fax: |
Provider Mailing Location
7615 KENNEDY HL
SAN ANTONIO
TX
782354437
Provider Mailing Phone/Fax
| Phone: | 2102836998 |
| Fax: |