Organization Active NPI

Santos MC LLC

  • Clinic/Center
  • Livonia, MI
National Provider Identifier
1063677748
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SANTOS MC LLC
Practice address
28803 8 Mile Rd
102
Livonia, MI 48152-2074
Phone
(248) 636-9637
NPI assigned
Jul 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Marieva Briceno
Title
President
Phone
(248) 636-9637

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

28803 8 Mile Rd
102
Livonia, MI 48152-2074

Mailing address

28803 8 Mile Rd
102
Livonia, MI 48152-2074
Phone (248) 636-9637

National Provider Directory

National Provider Directory

Locations

28803 8 Mile Rd
Ste 102
Livonia, MI 48152
Phone (248) 477-2600

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1063677748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28803 8 MILE RD",
            "address_2": "102",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522074",
            "telephone_number": "248-636-9637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28803 8 MILE RD",
            "address_2": "102",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522074",
            "telephone_number": "248-636-9637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTOS MC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "BRICENO",
        "authorized_official_first_name": "MARIEVA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-636-9637",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.