Individual
CHRISTIAN J SANTIAGO MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1221 71ST ST, MIAMI BEACH, FL 33141-3647
(305) 538-8835
(305) 994-0054
Mailing address
11645 BISCAYNE BLVD STE 207, MIAMI, FL 33181-3138
(305) 538-8835
(305) 994-0054
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME127418
FL
207V00000X
Obstetrics & Gynecology Physician
Q8789
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107544200
—
FL
Enumeration date
08/26/2011
Last updated
11/18/2024
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