Most Relevant Information
Provider Data
| NPI Number: | 1003670027 |
| Provider Name: | REYNALDO MERCADO SANTOS |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: | MPSS-EPNDCY |
Most Important Dates
| Enumeration Date: | 02/09/2024 |
| Last Updated: | 02/12/2024 |
Provider Practice Location
5333 MISSION CENTER RD STE 105
SAN DIEGO
CA
921081347
Practice Location Phone/Fax
| Phone: | 6199974510 |
| Fax: | 6199845440 |
Provider Mailing Location
5333 MISSION CENTER RD STE 105
SAN DIEGO
CA
921081347
Provider Mailing Phone/Fax
| Phone: | 6199974510 |
| Fax: | 6199845440 |