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NPI Code Detail

MEDICARE: DR. SULEIDYS MIRANDA SANTANA M.D.

MEDICARE:  DR. SULEIDYS  MIRANDA SANTANA  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
1207R00000XInternal Medicine PhysicianME114526FL

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 : 1386963619
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SULEIDYS MIRANDA SANTANA M.D.
Provider Business Mailing Address
First Line : 8240 SW 164TH CT
Second Line :
City : MIAMI
State : FL
Zip : 33193-5752
Country : US
Telephone Number : 786-253-1651
Fax Number :
Provider Business Practice Location Address
First Line : 8785 SW 165TH AVE STE 105
Second Line :
City : MIAMI
State : FL
Zip : 33193-5827
Country : US
Telephone Number : 305-614-1529
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2010
Last Update Date : 08/30/2022

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Directions to “ DR. SULEIDYS MIRANDA SANTANA M.D.” Practice Location

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