Provider Demographics
NPI:1689397226
Name:CARDOSO DOS SANTOS, HELENA ISABEL I
Entity Type:Individual
Prefix:
First Name:HELENA
Middle Name:ISABEL
Last Name:CARDOSO DOS SANTOS
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-4808
Mailing Address - Country:US
Mailing Address - Phone:508-840-2158
Mailing Address - Fax:
Practice Address - Street 1:1818 WORCESTER ROAD
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701
Practice Address - Country:US
Practice Address - Phone:508-628-6300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-20
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator