Provider Demographics
NPI:1437534534
Name:SANTA FE MANAGEMENT LLC
Entity Type:Organization
Organization Name:SANTA FE MANAGEMENT LLC
Other - Org Name:SANTA FE MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:ANGEL
Authorized Official - Last Name:VARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PC
Authorized Official - Phone:702-218-1142
Mailing Address - Street 1:2828 E LAKE MEAD BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89030-6550
Mailing Address - Country:US
Mailing Address - Phone:702-218-1142
Mailing Address - Fax:702-224-2104
Practice Address - Street 1:2828 E LAKE MEAD BLVD
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89030-6550
Practice Address - Country:US
Practice Address - Phone:702-218-1142
Practice Address - Fax:702-224-2104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-30
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV12464261Q00000X, 261QE0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care