| Doctor Name: | MR. MICHAEL ANGEL SANO |
| NPI Number: | 1003165085 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | C.O.O |
| License Number: | |
| Business Practice Address: | 515 Camden St San Antonio, TX - 782151925 |
| Business Phone Number: | 2102672199 |
| Business Fax Number: | 2102672199 |
| Mailing Address: | 4218 Moonlight Way, SAN ANTONIO |
| State: | TX |
| Postal Code: | 782301450 |
| Phone Number: | 2102672199 |
| Fax Number: | 2102672199 |
| NPI Enumeration Date: | 09/05/2012 |
| NPI Last Update Date: | 09/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |