Provider Demographics
NPI:1659987444
Name:SANTANA FNP
Entity Type:Organization
Organization Name:SANTANA FNP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFICIAL
Authorized Official - Prefix:MR
Authorized Official - First Name:ADRIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTANA
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:786-318-6247
Mailing Address - Street 1:14451 SW 163RD ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-1719
Mailing Address - Country:US
Mailing Address - Phone:786-318-6247
Mailing Address - Fax:
Practice Address - Street 1:14451 SW 163RD ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-1719
Practice Address - Country:US
Practice Address - Phone:786-318-6247
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-17
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center