Healthcare Provider Details

I. General information

NPI: 1982390704
Provider Name (Legal Business Name): SANTANA PSYCH-EDUCATIONAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2023
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10661 N KENDALL DR STE 232
MIAMI FL
33176-1556
US

IV. Provider business mailing address

9801 SW 74TH ST
MIAMI FL
33173-3175
US

V. Phone/Fax

Practice location:
  • Phone: 786-558-9123
  • Fax: 786-558-9123
Mailing address:
  • Phone: 305-606-5398
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. GEMA M. SANTANA
Title or Position: SCHOOL PSYCHOLOGIST/OWNER
Credential: LSP
Phone: 305-606-5398