Organization
SANTACLARA MEDICAL SERVICES,INC
Active
Organization
SANTACLARA MEDICAL SERVICES,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YDANIA SANTACLARA (ARNP-BC)
(786) 261-8872
Entity
Organization
Contact information
Practice address
1956 MARSEILLE DR, APT # 8, MIAMI BEACH, FL 33141-3425
(786) 261-8872
(305) 631-1419
Mailing address
1956 MARSEILLE DR, APT # 8, MIAMI BEACH, FL 33141-3425
(786) 261-8872
(305) 631-1419
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013478200
—
FL
01
—
IB153A
MEDICARE PTAN
FL
Enumeration date
04/27/2015
Last updated
04/27/2015
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