| Pepe Santana, Phd | |
|
90 Madison St Suite 402 Denver CO 80206-5418 | |
| (720) 272-0565 | |
| Not Available |
| Full Name | Pepe Santana, Phd |
|---|---|
| Speciality | Psychologist |
| Location | 90 Madison St, Denver, Colorado |
| Authorized Official Name and Position | Pepe Santana (CEO) |
| Authorized Official Contact | 7202720565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pepe Santana, Phd 90 Madison St Suite 402 Denver CO 80206-5418 Ph: (720) 272-0565 | Pepe Santana, Phd 90 Madison St Suite 402 Denver CO 80206-5418 Ph: (720) 272-0565 |
| NPI Number | 1003217019 |
|---|---|
| Provider Enumeration Date | 09/09/2014 |
| Last Update Date | 09/09/2014 |
| Medicare PECOS PAC ID | 9931320850 |
|---|---|
| Medicare Enrollment ID | O20141017001751 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003217019 | NPI | - | NPPES |
| 38358255 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Pepe S Santana |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437304854 PECOS PAC ID: 3779522115 Enrollment ID: I20090204000643 |
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