Provider Demographics
NPI:1346936101
Name:SANTOYO, JESUS MIRIAM (SOCIAL WORK)
Entity Type:Individual
Prefix:
First Name:JESUS
Middle Name:MIRIAM
Last Name:SANTOYO
Suffix:
Gender:F
Credentials:SOCIAL WORK
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:344 MORGAN RUN
Mailing Address - Street 2:
Mailing Address - City:CIBOLO
Mailing Address - State:TX
Mailing Address - Zip Code:78108-3494
Mailing Address - Country:US
Mailing Address - Phone:915-730-2544
Mailing Address - Fax:
Practice Address - Street 1:344 MORGAN RUN
Practice Address - Street 2:
Practice Address - City:CIBOLO
Practice Address - State:TX
Practice Address - Zip Code:78108-3494
Practice Address - Country:US
Practice Address - Phone:915-730-2544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-14
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker