Provider Demographics
NPI:1639573868
Name:SANTIAGO-MCQUAID, MAGDARIS AIDA (AUD)
Entity type:Individual
Prefix:DR
First Name:MAGDARIS
Middle Name:AIDA
Last Name:SANTIAGO-MCQUAID
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:MAGDARIS
Other - Middle Name:AIDA
Other - Last Name:SANTIAGO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:2900 W CYPRESS CREEK RD. SUITE #3
Mailing Address - Street 2:
Mailing Address - City:FT. LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309
Mailing Address - Country:US
Mailing Address - Phone:954-601-1930
Mailing Address - Fax:954-601-1399
Practice Address - Street 1:2900 W CYPRESS CREEK RD. SUITE #3
Practice Address - Street 2:
Practice Address - City:FT. LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309
Practice Address - Country:US
Practice Address - Phone:954-601-1930
Practice Address - Fax:954-601-1399
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-17
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY 584231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist