Provider Demographics
NPI:1629787098
Name:SANTAGO, JOEY
Entity Type:Individual
Prefix:MR
First Name:JOEY
Middle Name:
Last Name:SANTAGO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12421 PASEO ALEGRE DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79928-5664
Mailing Address - Country:US
Mailing Address - Phone:941-626-0663
Mailing Address - Fax:
Practice Address - Street 1:12421 PASEO ALEGRE DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79928-5664
Practice Address - Country:US
Practice Address - Phone:941-626-0663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-15
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)