Provider Demographics
NPI:1881238426
Name:SANTANA, RUBEN RAFAEL (PHARMD)
Entity type:Individual
Prefix:
First Name:RUBEN
Middle Name:RAFAEL
Last Name:SANTANA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2385 NE 187TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33180-2723
Mailing Address - Country:US
Mailing Address - Phone:305-343-1554
Mailing Address - Fax:
Practice Address - Street 1:2385 NE 187TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33180-2723
Practice Address - Country:US
Practice Address - Phone:305-343-1554
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-06
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS59798183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist