Provider Demographics
NPI:1104026996
Name:SUSANA F. SOCAS, D.M.D., P.A.
Entity Type:Organization
Organization Name:SUSANA F. SOCAS, D.M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSANA
Authorized Official - Middle Name:F
Authorized Official - Last Name:SOCAS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:305-443-1411
Mailing Address - Street 1:555 BILTMORE WAY
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-5757
Mailing Address - Country:US
Mailing Address - Phone:305-443-1411
Mailing Address - Fax:305-443-5995
Practice Address - Street 1:555 BILTMORE WAY
Practice Address - Street 2:SUITE 202
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-5757
Practice Address - Country:US
Practice Address - Phone:305-443-1411
Practice Address - Fax:305-443-5995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-20
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental