Healthcare Provider Details

I. General information

NPI: 1548577653
Provider Name (Legal Business Name): GIFTED ACHIEVERS, DBA SANTORINI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2010
Last Update Date: 11/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1715 SAUL KLEINFIELD
EL PASO TX
79936
US

IV. Provider business mailing address

1715 SAUL KLEINFIELD
EL PASO TX
79936
US

V. Phone/Fax

Practice location:
  • Phone: 915-588-4377
  • Fax: 915-594-2116
Mailing address:
  • Phone: 915-588-4377
  • Fax: 915-594-7924

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. MARIA L TORRES
Title or Position: CEO/PRESIDENT
Credential:
Phone: 915-588-4377