Provider Demographics
NPI:1750399044
Name:SANTORO, ALFRED JOSEPH (DC)
Entity type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:JOSEPH
Last Name:SANTORO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16244 MILITARY TRL
Mailing Address - Street 2:SUITE 760
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-6534
Mailing Address - Country:US
Mailing Address - Phone:561-495-4950
Mailing Address - Fax:561-495-7817
Practice Address - Street 1:16244 MILITARY TRL
Practice Address - Street 2:SUITE 760
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-6534
Practice Address - Country:US
Practice Address - Phone:561-495-4950
Practice Address - Fax:561-495-7817
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2017-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0003597111NS0005X
FLCH3597111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL22168Medicare ID - Type Unspecified
FLT84303Medicare UPIN