# SANTOS MEDICAL CENTER MIAMI LAKES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356045736
- **Authorized official:** MRS. ORQUIDEA SANTOS (OWNER)
- **Authorized official phone:** (786) 344-9819

## Contact information

- **Practice address:** 15910 NW 57TH AVE, MIAMI LAKES, FL 33014-6704
- **Practice address phone:** (305) 553-4595
- **Practice address fax:** (305) 553-4596
- **Mailing address:** 13780 SW 26TH ST, MIAMI, FL 33175-6302
- **Mailing address phone:** (786) 344-9819
- **Mailing address fax:** (305) 554-4596

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/29/2023
- **Last updated:** 04/03/2023