Provider Demographics
NPI:1841662764
Name:SANTANA, REY (COUNSELOR/THERAPIST)
Entity type:Individual
Prefix:
First Name:REY
Middle Name:
Last Name:SANTANA
Suffix:
Gender:M
Credentials:COUNSELOR/THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9290 SUNSET DR
Mailing Address - Street 2:SUITE # 106, BLDG. #2
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3236
Mailing Address - Country:US
Mailing Address - Phone:305-596-4045
Mailing Address - Fax:305-596-4047
Practice Address - Street 1:9290 SUNSET DR
Practice Address - Street 2:SUITE # 106, BLDG. #2
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3236
Practice Address - Country:US
Practice Address - Phone:305-596-4045
Practice Address - Fax:305-596-4047
Is Sole Proprietor?:No
Enumeration Date:2015-10-30
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)