Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Santibanez PAC Utah

Organization Geriatric Medicine (Internal Medicine) Physician · NPI 1881469484

Santibanez PAC Utah is a Geriatric Medicine (Internal Medicine) Physician in Salt Lake City, Utah. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3

Practice location Address checks out

451 E Bishop Federal Ln
Salt Lake City, UT 84115-2357
Phone: (801) 487-7557
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1881469484
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julie Roser — Vp Of Operations · (775) 222-0045
NPI enumeratedNovember 24, 2023
Last updated in NPPESNovember 24, 2023
Certification dateNovember 24, 2023
Mailing address10775 Double R Blvd, Reno, NV 89521-8956

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