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NPI Code Detail

MEDICARE: JOCELYN SANTOS

MEDICARE: JOCELYN SANTOS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician27105AZ

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00263103OTHERAZRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3AZ0780580OTHERAZBCBS

General Provider Information

NPI Number : 1831159730
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOCELYN SANTOS
Provider Business Mailing Address
First Line : 2525 E CAMELBACK RD
Second Line : SUITEN1100
City : PHOENIX
State : AZ
Zip : 85016-4219
Country : US
Telephone Number : 602-618-9112
Fax Number : 602-778-3619
Provider Business Practice Location Address
First Line : 101 CIVIC CENTER LN
Second Line : APOGEE PHYSICIANS OFFICE
City : LAKE HAVASU CITY
State : AZ
Zip : 86403-5607
Country : US
Telephone Number : 928-302-5402
Fax Number : 928-302-5906
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2006
Last Update Date : 12/01/2014

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Directions to “ JOCELYN SANTOS ” Practice Location

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