Individual
JOSE O DE LOS SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 N.W. 12 ST., HOMESTEAD, FL 33030
(786) 243-1990
(786) 243-9590
Mailing address
120 N.W. 12 ST., HOMESTEAD, FL 33030
(786) 243-1990
(786) 243-9590
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME86285
FL
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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