Provider Demographics
NPI:1659399327
Name:JUNQUEIRA, HELOISA SANTOS (MD)
Entity Type:Individual
Prefix:DR
First Name:HELOISA
Middle Name:SANTOS
Last Name:JUNQUEIRA
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1615 BUNKER HILL WAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93906-6013
Mailing Address - Country:US
Mailing Address - Phone:831-796-1304
Mailing Address - Fax:831-757-0291
Practice Address - Street 1:1441 CONSTITUTION BLVD
Practice Address - Street 2:BUIDING 200, FLOOR ONE, SUITE 101
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93906-3100
Practice Address - Country:US
Practice Address - Phone:831-755-4124
Practice Address - Fax:831-759-6595
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2012-01-11
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Provider Licenses
StateLicense IDTaxonomies
CAA56413208000000X
FLME105931208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ02040ZOtherMEDICARE GROUP