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NPI Code Detail

MEDICARE: ROBERTO J SANTANA OQUENDO RPH

MEDICARE: ROBERTO J SANTANA OQUENDO RPH
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
1183500000XPharmacist4795PR
2183500000XPharmacist34615FL

General Provider Information

NPI Number : 1629102777
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERTO J SANTANA OQUENDO RPH
Provider Business Mailing Address
First Line : 10615 NARCOOSSEE RD
Second Line :
City : ORLANDO
State : FL
Zip : 32832-6904
Country : US
Telephone Number : 407-277-1446
Fax Number :
Provider Business Practice Location Address
First Line : 10615 NARCOOSSEE RD
Second Line :
City : ORLANDO
State : FL
Zip : 32832-6904
Country : US
Telephone Number : 407-277-1446
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2007
Last Update Date : 01/15/2013

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