Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ELENITA P SANTOS-MATA, M.D.
Active Sole ProprietorDR. ELENITA P SANTOS-MATA, M.D. is a Adolescent Medicine (Pediatrics) healthcare provider located in ZACHARY, Louisiana. NPI 1053454108 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine (Pediatrics) · ZACHARY, LA
Registration Details
- NPI Number
- 1053454108
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 15, 2007 (19.525928101155 yrs)
- Last Updated
- Jul 8, 2007
- License
-
07399R (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4851 W PARK DRSUITE AZACHARY, LA, 707914010Browse LA providers · Browse ZIP 70791
- Phone
- 2256587636
- Fax
- 2256587634
- Primary Specialty
-
Adolescent Medicine (Pediatrics)
2080A0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.