Provider Demographics
NPI:1720190986
Name:SANTANA-IZQUIERDO, ANAYS JUANA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANAYS
Middle Name:JUANA
Last Name:SANTANA-IZQUIERDO
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:PO BOX 144410
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33114-4410
Mailing Address - Country:US
Mailing Address - Phone:305-444-5008
Mailing Address - Fax:305-444-4941
Practice Address - Street 1:2601 SW 37TH AVE
Practice Address - Street 2:SUITE 905
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-2700
Practice Address - Country:US
Practice Address - Phone:305-444-5008
Practice Address - Fax:305-444-4941
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0068975207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL251535100Medicaid
FL28386Medicare ID - Type Unspecified
FLG74960Medicare UPIN