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General NPI Number Information
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NPI Number | 1427157320
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Entity Type | Individual
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Provider Name | LUIS M SANTAMARINA DMD
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Gender | Male
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 330 SW 27TH AVE SUITE 602
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City | MIAMI
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State | FL
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Zip | 33135-2961
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Country | US
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Telephone | 305-443-9998
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Fax | 305-644-0393
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Provider Business Mailing Address
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Address Line | 330 SW 27TH AVE SUITE 602
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City | MIAMI
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State | FL
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Zip | 33135-2961
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Country | US
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Telephone | 305-443-9998
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Fax | 305-644-0393
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN8610
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License Number State | FL
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