MEDICARE: MS. ZAIRA MARIA SANTANA M.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	222Q00000X	Developmental Therapist
2	103K00000X	Behavior Analyst	1-10-7365

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760693949
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ZAIRA MARIA SANTANA M.S.

Provider Business Mailing Address
First Line	:	12520 SW 94TH TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-1836
Country	:	US
Telephone Number	:	786-223-0801
Fax Number	:	305-598-5037

Provider Business Practice Location Address
First Line	:	8001 SW 36TH ST STE 9
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33328-1915
Country	:	US
Telephone Number	:	954-577-7790
Fax Number	:	954-577-7780

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2007
Last Update Date	:	06/04/2019

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