Provider Demographics
NPI:1578771697
Name:SANTANA, ALEXANGEL (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANGEL
Middle Name:
Last Name:SANTANA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10118 SW 125TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-4864
Mailing Address - Country:US
Mailing Address - Phone:305-989-3787
Mailing Address - Fax:
Practice Address - Street 1:900 SW 97TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-2935
Practice Address - Country:US
Practice Address - Phone:786-507-5530
Practice Address - Fax:786-398-4641
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME103920207R00000X, 208D00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice