Provider Demographics
NPI:1295440766
Name:SANTOS, MARIA ALEXANDRA
Entity type:Individual
Prefix:
First Name:MARIA ALEXANDRA
Middle Name:
Last Name:SANTOS
Suffix:
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 1:2227 SIMS AVE
Mailing Address - Street 2:
Mailing Address - City:OVERLAND
Mailing Address - State:MO
Mailing Address - Zip Code:63114-3521
Mailing Address - Country:US
Mailing Address - Phone:417-812-1322
Mailing Address - Fax:
Practice Address - Street 1:7746 RANNELLS AVE
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:MO
Practice Address - Zip Code:63143-1823
Practice Address - Country:US
Practice Address - Phone:636-226-4159
Practice Address - Fax:314-552-7075
Is Sole Proprietor?:No
Enumeration Date:2023-01-19
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic