Healthcare Provider Details
I. General information
NPI: 1598297228
Provider Name (Legal Business Name): MONICA MARIA NOYA SANTANA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/31/2017
Last Update Date: 12/06/2023
Certification Date: 12/06/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
23845 HOLMAN HWY STE 210
MONTEREY CA
93940-5907
US
IV. Provider business mailing address
100 WILSON RD STE 100
MONTEREY CA
93940-7885
US
V. Phone/Fax
- Phone: 831-620-0700
- Fax:
- Phone: 831-242-8394
- Fax: 239-208-3994
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | ME157527 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | A173036 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: