MEDICARE: MR. JUANCARLOS SANTISTEBAN

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
1	106H00000X	Marriage & Family Therapist	9090848-3902	UT

General Provider Information

NPI Number	:	1578733077
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JUANCARLOS SANTISTEBAN

Provider Business Mailing Address
First Line	:	2404 N 3400 W # B
Second Line	:
City	:	PLAIN CITY
State	:	UT
Zip	:	84404-8579
Country	:	US
Telephone Number	:	801-458-8408
Fax Number	:

Provider Business Practice Location Address
First Line	:	2404 N 3400 W # B
Second Line	:
City	:	PLAIN CITY
State	:	UT
Zip	:	84404-8579
Country	:	US
Telephone Number	:	801-458-8408
Fax Number	:	801-458-8408

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2008
Last Update Date	:	06/17/2016

Similar Medicare Providers

1043725443 — DR. SAMUEL OFOSU MELFAH PHARMD.,PHC
Practice Location Address:

14476 HORIZON BLVD STE J
HORIZON CITY, TX
79928-8579

Practice Phone: 915-852-8884
Practice Fax: 915-975-5893

1780278408 — EUSTACIO RIVAS JR.
Practice Location Address:

14476 HORIZON BLVD STE J
HORIZON CITY, TX
79928-8579

Practice Phone: 915-852-8884
Practice Fax: 915-852-1727

1831887629 — DR. VIANCA MARIE PADILLA PHARMD
Practice Location Address:

14476 HORIZON BLVD STE J
HORIZON CITY, TX
79928-8579

Practice Phone: 915-852-8884
Practice Fax:

1316767254 — BE BETTER HEALTHCARE PLLC
Practice Location Address:

14476 HORIZON BLVD STE B
HORIZON CITY, TX
79928-8579

Practice Phone: 915-344-7011
Practice Fax: 915-344-7012

1255497376 — SHANNETTE KEELER LCSW, PC.
Practice Location Address:

4184 W 1975 N
PLAIN CITY, UT
84404-9716

Practice Phone: 801-732-1102
Practice Fax: 801-732-1107

1376796771 — MR. JEFFERY LYNN MANNING F-NP
Practice Location Address:

1396 N 4800 W
PLAIN CITY, UT
84404-9489

Practice Phone: 801-731-7227
Practice Fax:

Directions to “ MR. JUANCARLOS SANTISTEBAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.