Healthcare Provider Details

I. General information

NPI: 1952224628
Provider Name (Legal Business Name): JANICE SANTOS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6705 SW 57TH AVE STE 516
SOUTH MIAMI FL
33143-3649
US

IV. Provider business mailing address

822 MILAN AVE
CORAL GABLES FL
33134-3612
US

V. Phone/Fax

Practice location:
  • Phone: 786-372-8485
  • Fax: 786-664-1107
Mailing address:
  • Phone: 917-660-1431
  • Fax: 786-664-1107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JANICE SANTOS
Title or Position: MD
Credential: MD, ABOIM
Phone: 917-660-1431