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Individual

REMBERTO SANTOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2925 AVENTURA BLVD, SUITE 302, AVENTURA, FL 33180-3124
(305) 931-7960
(305) 931-7957
Mailing address
2925 AVENTURA BLVD, SUITE 302, AVENTURA, FL 33180-3124
(305) 931-7960
(305) 931-7957

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME105791
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002000400
FL
01
CU534Y
MEDICARE PTAN LINKED TO GROUP FT883A
FL
01
CU534Z
MEDICARE INDIVIDUAL PTAN
FL
Enumeration date
12/31/2009
Last updated
11/01/2012
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