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Individual

ERENIO CARLOS SANTANA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3641 S MIAMI AVE, MIAMI, FL 33133-4205
(305) 854-0300
(305) 854-0308
Mailing address
1416 SAN MARCO AVE, CORAL GABLES, FL 33134-2256
(305) 461-4533

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME85879
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
71469
BLUE CROSS B
FL
Enumeration date
02/07/2006
Last updated
07/08/2007
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