Provider Demographics
NPI:1235926189
Name:SANTOS, AERIEL PAPA (MD)
Entity type:Individual
Prefix:
First Name:AERIEL
Middle Name:PAPA
Last Name:SANTOS
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:AERIEL
Other - Middle Name:PAPA
Other - Last Name:BADIOLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2500 STARLING STREET
Mailing Address - Street 2:SUITE 403
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31520
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2500 STARLING STREET
Practice Address - Street 2:SUITE 403
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520
Practice Address - Country:US
Practice Address - Phone:912-466-7562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program