Provider Demographics
NPI:1669602629
Name:SANTEIRO, ALFREDO (DDS)
Entity type:Individual
Prefix:DR
First Name:ALFREDO
Middle Name:
Last Name:SANTEIRO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2555 COLLINS AVE
Mailing Address - Street 2:CLUB ATLANTIS SUITE C-3
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-4723
Mailing Address - Country:US
Mailing Address - Phone:305-672-9698
Mailing Address - Fax:305-672-1419
Practice Address - Street 1:2555 COLLINS AVE
Practice Address - Street 2:CLUB ATLANTIS SUITE C-3
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-4723
Practice Address - Country:US
Practice Address - Phone:305-672-9698
Practice Address - Fax:305-672-1419
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-23
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN0012959122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist