Individual
KATIA SANTOS-BARRIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 689-5788
Mailing address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 689-5788
Taxonomy
Speciality
Code
Description
License number
State
246QC1000X
Chemistry Pathology Specialist/Technologist
Primary
TN45489
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2638150
AMT
FL
01
—
TN45489
MT FLORIDA LICENSE
FL
Enumeration date
08/12/2016
Last updated
08/12/2016
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