| Jorge Santander Md Pa | |
|
4080 Sw 84th Ave Ste D Miami FL 33155-4201 | |
| (305) 223-1140 | |
| (305) 223-1174 |
| Full Name | Jorge Santander Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 4080 Sw 84th Ave, Miami, Florida |
| Authorized Official Name and Position | Jorge Santander (PRESIDENT) |
| Authorized Official Contact | 3052231140 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jorge Santander Md Pa 4080 Sw 84th Ave Ste D Miami FL 33155-4201 Ph: (305) 223-1140 | Jorge Santander Md Pa 4080 Sw 84th Ave Ste D Miami FL 33155-4201 Ph: (305) 223-1140 |
| NPI Number | 1417004789 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 02/01/2010 |
| Medicare PECOS PAC ID | 0749281053 |
|---|---|
| Medicare Enrollment ID | O20070129000393 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417004789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME83255 (Florida) | Primary |
| Provider Name | Jorge L Santander |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1467499285 PECOS PAC ID: 7012829229 Enrollment ID: I20031105000534 |
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