| Santaclara Medical Services,inc | |
|
1956 Marseille Dr Apt # 8 Miami Beach FL 33141-3425 | |
| (786) 261-8872 | |
| (305) 631-1419 |
| Full Name | Santaclara Medical Services,inc |
|---|---|
| Speciality | Clinic/center |
| Location | 1956 Marseille Dr, Miami Beach, Florida |
| Authorized Official Name and Position | Ydania Santaclara (ARNP-BC) |
| Authorized Official Contact | 7862618872 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Santaclara Medical Services,inc 1956 Marseille Dr Apt # 8 Miami Beach FL 33141-3425 Ph: (786) 261-8872 | Santaclara Medical Services,inc 1956 Marseille Dr Apt # 8 Miami Beach FL 33141-3425 Ph: (786) 261-8872 |
| NPI Number | 1063899219 |
|---|---|
| Provider Enumeration Date | 04/27/2015 |
| Last Update Date | 04/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063899219 | NPI | - | NPPES |
| IB153A | Other | FL | MEDICARE PTAN |
| 013478200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Florida) | Primary |
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