Individual
MR. JUAN MARIO DE LOS SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.R.N.P.
Contact information
Practice address
10661 N KENDALL DR, MIAMI, FL 33176-1550
(305) 670-4609
Mailing address
13737 SW 36TH ST, MIAMI, FL 33175-7208
(305) 559-0495
(305) 559-0495
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
ARNP1945092
FL
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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