Active NPIIndividual provider

Jose A Mora-San Antonio

Student in an Organized Health Care Education/Training Program in Garden City, Michigan

NPI Number1255120085
Practice location
6245 Inkster RD, Garden City, MI 48135-4001
Fax
—
Last updated
May 6, 2025

Jose Antonio Mora-San Antonio is a Student in an Organized Health Care Education/Training Program based in Garden City, MI. Jose Antonio Mora-San Antonio practices in Garden City, MI. The NPI Number for Jose Antonio Mora-San Antonio is 1255120085 and holds a License No. 4351054754 (MI). The current practice location address for Jose Antonio Mora-San Antonio is 6245 Inkster RD, Garden City, MI 48135-4001 and can be reached out via phone at 734-458-3300.

Provider Profile Details

NPI Number
1255120085
Provider Name
Jose Antonio Mora-San Antonio
Provider Entity Type
Individual
Gender
Male
Address
6245 Inkster RD, Garden City, MI 48135-4001
Phone Number
734-458-3300
Sole Proprietor
No
Provider Enumeration Date
May 6, 2025
Last Update Date
May 6, 2025
Certification Date
May 6, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
6245 Inkster RD
Garden City, MI 48135-4001
Zip
48135-4001
Phone Number
734-458-3300
Garden City, MI 48135Get directions →

Provider Business Mailing Address Details

Address
Isabela Beach CT # 562
Isabela, PR 00662-2418
City
Isabela
State
PR
Zip
00662-2418
Phone Number
787-872-7095

License Information

License Number
4351054754
License State
MI

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jose A Mora-San Antonio?

The NPI number of Jose A Mora-San Antonio is 1255120085. It was assigned on May 6, 2025 and is currently active in the NPPES registry.

What is the specialty of Jose A Mora-San Antonio?

Jose A Mora-San Antonio is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in MI under license number 4351054754.

Where does Jose A Mora-San Antonio practice?

The practice location is 6245 Inkster RD, Garden City, MI 48135-4001. The office can be reached at 734-458-3300 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255120085 directly on the NPPES registry website.

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