Provider Demographics
NPI:1255925632
Name:SAYCO, JOSELITO G
Entity type:Individual
Prefix:
First Name:JOSELITO
Middle Name:G
Last Name:SAYCO
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 1:1502 N ROCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-1472
Mailing Address - Country:US
Mailing Address - Phone:480-577-0366
Mailing Address - Fax:
Practice Address - Street 1:1502 N ROCHESTER DR
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-1472
Practice Address - Country:US
Practice Address - Phone:480-577-0366
Practice Address - Fax:480-687-2841
Is Sole Proprietor?:No
Enumeration Date:2021-02-25
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAZ12220374U00000X
AZD055116420172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver
No374U00000XNursing Service Related ProvidersHome Health Aide