Provider Demographics
NPI:1841634490
Name:SANTANA, CHRISTIAN (RRT)
Entity type:Individual
Prefix:MR
First Name:CHRISTIAN
Middle Name:
Last Name:SANTANA
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5450 LYONS RD APT 108
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-2823
Mailing Address - Country:US
Mailing Address - Phone:954-629-1739
Mailing Address - Fax:
Practice Address - Street 1:5450 LYONS RD APT 108
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-2823
Practice Address - Country:US
Practice Address - Phone:954-629-1739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-25
Last Update Date:2013-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT123822279H0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome Health