Organization
MINERVA SANTO TOMAS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINERVA SANTO TOMAS M.D. (PHYSICIAN/ OWNER)
(305) 774-5677
Entity
Organization
Contact information
Practice address
6419 SW 40TH ST, MIAMI, FL 33155-4827
(305) 774-5677
(305) 774-5697
Mailing address
6419 SW 40TH ST, MIAMI, FL 33155-4827
(305) 774-5677
(305) 774-5697
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME 70314
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254617500
—
FL
Enumeration date
05/09/2006
Last updated
11/20/2007
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