Provider Demographics
NPI:1780911198
Name:SANTANDER RETIREMENT CORP.
Entity type:Organization
Organization Name:SANTANDER RETIREMENT CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:XIOMARA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-342-5026
Mailing Address - Street 1:1702 SW 102 PLACE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-7432
Mailing Address - Country:US
Mailing Address - Phone:305-226-5408
Mailing Address - Fax:305-226-5408
Practice Address - Street 1:1702 SW 102 PLACE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-7432
Practice Address - Country:US
Practice Address - Phone:305-226-5408
Practice Address - Fax:305-226-5408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-05
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL6501310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility