Healthcare Provider Details

I. General information

NPI: 1851343578
Provider Name (Legal Business Name): CARLOS R SANTOS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 07/19/2024
Certification Date: 07/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 N MIAMI BEACH BLVD STE 402
NORTH MIAMI BEACH FL
33162-3712
US

IV. Provider business mailing address

909 N MIAMI BEACH BLVD STE 402
NORTH MIAMI BEACH FL
33162-3712
US

V. Phone/Fax

Practice location:
  • Phone: 305-653-0425
  • Fax: 305-653-4055
Mailing address:
  • Phone: 305-653-0425
  • Fax: 305-653-4055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberME81286
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberME 81286
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: