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NPI Code Detail

MEDICARE: DR. ROSANA DE LOS SANTOS M.D.

MEDICARE: DR. ROSANA DE LOS SANTOS 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
1208D00000XGeneral Practice PhysicianME91435FL
2207VG0400XGynecology PhysicianME91435FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ME91435OTHERFLMEDICAL LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366581118
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROSANA DE LOS SANTOS M.D.
Provider Business Mailing Address
First Line : 120 NW 12TH ST
Second Line :
City : HOMESTEAD
State : FL
Zip : 33030-4222
Country : US
Telephone Number : 786-243-1990
Fax Number : 786-243-9095
Provider Business Practice Location Address
First Line : 1272 NW 119TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33167-3232
Country : US
Telephone Number : 305-685-5688
Fax Number : 305-688-7995
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2007
Last Update Date : 04/16/2015

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Directions to “ DR. ROSANA DE LOS SANTOS M.D.” Practice Location

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