Provider Demographics
NPI:1811590714
Name:SANTANA ARTILES, ROBERTO ANDRES (APRN)
Entity Type:Individual
Prefix:
First Name:ROBERTO
Middle Name:ANDRES
Last Name:SANTANA ARTILES
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15400 BISCAYNE BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33160-4614
Mailing Address - Country:US
Mailing Address - Phone:305-957-7277
Mailing Address - Fax:
Practice Address - Street 1:15400 BISCAYNE BLVD STE 103
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33160-4614
Practice Address - Country:US
Practice Address - Phone:305-957-7277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-21
Last Update Date:2020-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11010157363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily