Individual
MADAI ORTIZ-SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1613 HARRISON PKWY, RADIOLOGY DIVISION, SUITE 200, SUNRISE, FL 33323-2896
(954) 514-4843
Mailing address
1613 HARRISON PKWY, RADIOLOGY DIVISION, SUITE 200, SUNRISE, FL 33323-2896
(954) 514-4843
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
MT191825
PA
2085R0202X
Diagnostic Radiology Physician
Primary
4301087461
MI
Other
Enumeration date
07/06/2010
Last updated
01/17/2013
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