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NPI Code Detail

MEDICARE: MS. ISABEL SANTANA CHICA

MEDICARE: MS. ISABEL SANTANA CHICA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1222Q00000XDevelopmental Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043738859
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ISABEL SANTANA CHICA
Provider Business Mailing Address
First Line : 9351 SW 52ND TER
Second Line :
City : MIAMI
State : FL
Zip : 33165-6519
Country : US
Telephone Number : 786-362-7482
Fax Number : 305-858-6018
Provider Business Practice Location Address
First Line : 601 SW 8TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33130-3209
Country : US
Telephone Number : 786-362-7482
Fax Number : 305-858-6018
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2017
Last Update Date : 08/31/2017

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Directions to “ MS. ISABEL SANTANA CHICA ” Practice Location

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