Provider Demographics
NPI:1659760916
Name:SECIN SANTANA, DELVIS (MD)
Entity Type:Individual
Prefix:DR
First Name:DELVIS
Middle Name:
Last Name:SECIN SANTANA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6215 S DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33405-4327
Mailing Address - Country:US
Mailing Address - Phone:561-593-4880
Mailing Address - Fax:561-593-2983
Practice Address - Street 1:6215 S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33405-4327
Practice Address - Country:US
Practice Address - Phone:561-593-4880
Practice Address - Fax:561-593-2983
Is Sole Proprietor?:No
Enumeration Date:2015-01-09
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME129524207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine