NPI 1134259773

Juan Mario de Los Santos, ARNP

Practitioner Chore Provider Miami, FL

Practice location

Address: 10661 N Kendall Dr, Miami, FL 33176-1550
Phone: (305) 670-4609
Mailing address: 13737 SW 36th St, Miami, FL 33175-7208

Registered specialties

Chore Provider Primary

Nursing Service Related Providers Taxonomy 372500000X Licence ARNP1945092 (FL)

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Registry record

NPI: 1134259773
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.