IndividualActive
Andis Santana, PHYSICIAN ASSISTANT
NPI 1952999757 · Student in an Organized Health Care Education/Training Program · Providence, RI
Provider details
- NPI number
- 1952999757
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- PHYSICIAN ASSISTANT
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Student, Health Care
Practice location
86 Alvin St
Providence, RI 02907-3219
Phone: (401) 365-2658
Approximate (ZIP-level) locationGet directions
Mailing address
86 Alvin St
Providence, RI 02907-3219
Registry dates
- Enumerated
- 2021-01-06
- Last updated
- 2021-01-08
- Certified
- 2021-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.