Healthcare Provider Details

I. General information

NPI: 1225546518
Provider Name (Legal Business Name): DAFNEY M SANTANA CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2018
Last Update Date: 04/28/2023
Certification Date: 04/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 SW 73RD ST
SOUTH MIAMI FL
33143-4679
US

IV. Provider business mailing address

6800 SW 40TH ST # 164
MIAMI FL
33155-3708
US

V. Phone/Fax

Practice location:
  • Phone: 305-662-4000
  • Fax:
Mailing address:
  • Phone: 305-903-8818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberGAA-CRNA000780
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP9259340
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN9259340
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: