MEDICARE: ALEXANDER SANTOS-GARCIA M.D.

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	207Q00000X	Family Medicine Physician	ME120578	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	921423318343-001	OTHER		CCN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316378664
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDER SANTOS-GARCIA M.D.

Provider Business Mailing Address
First Line	:	14788 SW 56TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33185-4070
Country	:	US
Telephone Number	:	786-272-9170
Fax Number	:	888-531-1910

Provider Business Practice Location Address
First Line	:	14788 SW 56TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33185-4070
Country	:	US
Telephone Number	:	786-272-9170
Fax Number	:	888-531-1910

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

Provider Enumeration Date	:	12/11/2013
Last Update Date	:	07/14/2015

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