Individual
JOSE ROBERTO SANTAMARIA CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5914 SW 133RD CT, MIAMI, FL 33183
(786) 582-8212
Mailing address
5914 SW 133RD CT, MIAMI, FL 33183-5113
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
19-308
WI
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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