Organization
SANTANA DIAGNOSTIC SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL R DEL VALLE (PRESIDENT)
(305) 251-4449
Entity
Organization
Contact information
Practice address
12855 SW 136TH AVE, SUITE 212, MIAMI, FL 33186-5885
(305) 251-4449
Mailing address
12855 SW 136TH AVE, SUITE 212, MIAMI, FL 33186-5885
(305) 251-4449
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC4137
ACHA LICENSE
FL
05
—
U1632
—
FL
Enumeration date
10/15/2005
Last updated
08/22/2020
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