MEDICARE: MANUEL E SANTIN DMD

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	1223G0001X	General Practice Dentistry	DN4162	FL

General Provider Information

NPI Number	:	1891845038
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MANUEL E SANTIN DMD

Provider Business Mailing Address
First Line	:	1835 CORAL WAY
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33145-2730
Country	:	US
Telephone Number	:	305-858-4119
Fax Number	:	305-858-4423

Provider Business Practice Location Address
First Line	:	1835 CORAL WAY
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33145-2730
Country	:	US
Telephone Number	:	305-858-4119
Fax Number	:	305-858-4423

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

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	06/01/2009

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Directions to “ MANUEL E SANTIN DMD” Practice Location

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