Provider Demographics
NPI:1821462029
Name:SYLVIA SANTANA PA
Entity Type:Organization
Organization Name:SYLVIA SANTANA PA
Other - Org Name:BILTMORE DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTANA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:305-364-9322
Mailing Address - Street 1:11300 NW 87TH CT STE 166
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-4521
Mailing Address - Country:US
Mailing Address - Phone:305-364-9322
Mailing Address - Fax:305-364-0983
Practice Address - Street 1:11300 NW 87TH CT STE 166
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33018-4521
Practice Address - Country:US
Practice Address - Phone:305-364-9322
Practice Address - Fax:305-364-0983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-25
Last Update Date:2015-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN19864261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental