| Jorge Santibanez, MD | |
|
1600 Medical Pkwy, Carson City, NV 89703-4625 | |
| (775) 445-8795 | |
| (775) 445-5175 |
| Full Name | Jorge Santibanez |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 28 Years |
| Location | 1600 Medical Pkwy, Carson City, Nevada |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568446672 | NPI | - | NPPES |
| 227344 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD24602 (Oregon) | Secondary |
| 208M00000X | Hospitalist | 13739 (Nevada) | Secondary |
| 208M00000X | Hospitalist | 7746287-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vail Health Hospital | Vail, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Utah Regional Hospitalists Llc | 4789807165 | 114 |
| Vail Clinic Inc | 3577475714 | 103 |
| Utah Regional Hospitalists Llc | 4789807165 | 114 |
| Entity Name | Utah Regional Hospitalists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962821223 PECOS PAC ID: 4789807165 Enrollment ID: O20140604000236 |
| Entity Name | Santibanez Aguirre Slc Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609334911 PECOS PAC ID: 0345582383 Enrollment ID: O20190423002734 |
| Entity Name | Santibanez Pac Utah |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881469484 PECOS PAC ID: 1355785437 Enrollment ID: O20240216000756 |
| Mailing Address | Practice Location Address |
|---|---|
| Jorge Santibanez, MD Po Box 3299, Carson City, NV 89702-3299 Ph: (775) 222-0044 | Jorge Santibanez, MD 1600 Medical Pkwy, Carson City, NV 89703-4625 Ph: (775) 445-8795 |
Elisabeth A Mates, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1600 Medical Pkwy, Carson City, NV 89703 Phone: 775-445-8795 Fax: 775-445-5175 | |
Dr. Dinadelle Barroso Viola, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1600 Medical Pkwy, Lake Tahoe Regional Hospitalists, Carson City, NV 89703 Phone: 775-445-8795 Fax: 775-445-5175 | |
David M Miller, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 1600 Medical Pkwy, Carson City, NV 89703 Phone: 775-445-8795 Fax: 775-445-5175 |