MEDICARE: MARIA DE LOS SANTOS ARNP

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
1	363L00000X	Nurse Practitioner	1897882	FL

General Provider Information

NPI Number	:	1154398873
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA DE LOS SANTOS ARNP

Provider Business Mailing Address
First Line	:	13737 SW 36TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-7208
Country	:	US
Telephone Number	:	305-608-1670
Fax Number	:

Provider Business Practice Location Address
First Line	:	3006 AVIATION AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33133-3863
Country	:	US
Telephone Number	:	305-354-1004
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2006
Last Update Date	:	01/08/2018

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