IndividualActive
Elenita Santos-Mata, M.D.
NPI 1053454108 · Pediatric Adolescent Medicine Physician · Zachary, LA
Provider details
- NPI number
- 1053454108
- Entity type
- Individual
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 07399R (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4851 W Park Dr
Suite a
Zachary, LA 70791-4010
Phone: (225) 658-7636
Fax: (225) 658-7634
Approximate (ZIP-level) locationGet directions
Mailing address
4851 W Park Dr
Zachary, LA 70791-4010
Registry dates
- Enumerated
- 2007-02-15
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.