| NPI | 1003885823 |
|---|---|
| Professional Name | JUAN CARLOS DE LOS SANTOS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN373) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 14911) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2023-08-15 |