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NPI Code Detail

MEDICARE: DR. KIRENIA SANTIUSTE

MEDICARE: DR. KIRENIA SANTIUSTE
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
1363LF0000XFamily Nurse PractitionerARNP9336030FL
2363LX0001XObstetrics & Gynecology Nurse PractitionerARNP9336030FL

General Provider Information

NPI Number : 1396291571
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KIRENIA SANTIUSTE
Provider Business Mailing Address
First Line : 4780 SW 64TH AVE STE 103
Second Line :
City : DAVIE
State : FL
Zip : 33314-4400
Country : US
Telephone Number : 954-434-1705
Fax Number :
Provider Business Practice Location Address
First Line : 4780 SW 64TH AVE STE 101
Second Line :
City : DAVIE
State : FL
Zip : 33314-4400
Country : US
Telephone Number : 954-434-1705
Fax Number : 954-218-5354
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2016
Last Update Date : 09/09/2021

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Directions to “ DR. KIRENIA SANTIUSTE ” Practice Location

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