Elenita P Santos-Mata in Zachary - Adolescent Medicine
Elenita P Santos-Mata - NPI 1053454108
Elenita P Santos-Mata is a Adolescent Medicine in Zachary, Louisiana. Elenita P Santos-Mata practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Elenita P Santos-Mata is 1053454108. The last update date is 2007-07-08.
Elenita P Santos-Mata's current location address is 4851 W Park Dr, Zachary, Louisiana. You can contact this provider via phone number 2256587636 and fax number 2256587634. The mailing address for Elenita P Santos-Mata is 4851 W Park Dr, Zachary, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elenita P Santos-Mata |
|---|---|
| Address | 4851 W Park Dr, Zachary, Louisiana |
| Phone Number | 2256587636 |
| Fax Number | 2256587634 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1053454108 |
|---|---|
| Provider Enumeration Date | 2007-02-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4851 W Park Dr |
|---|---|
| City | Zachary |
| State | Louisiana (LA) |
| Post Code | 707914010 |
| Phone Number | 2256587636 |
| Fax Number | 2256587634 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 07399R |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1372617 | LA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Elenita P Santos-Mata?
The Elenita P Santos-Mata has been issued the NPI (National Provider Identifier) 1053454108 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Elenita P Santos-Mata's facilities are situated?
The facilities of Elenita P Santos-Mata are physically located at the following address: 4851 W Park Dr, Zachary, LA, 707914010.
What is Elenita P Santos-Mata's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Elenita P Santos-Mata is Adolescent Medicine, and the taxonomy code that categorizes this field of expertise is 2080A0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1053454108 to Elenita P Santos-Mata?
The Centers for Medicare & Medicaid Services originally issued the 1053454108 to Elenita P Santos-Mata on 2007-02-15.
As of what date were the Elenita P Santos-Mata's details last updated?
The information pertaining to the Elenita P Santos-Mata, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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