Individual
DIANA M SANTIAGO CHAMORRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11645 BISCAYNE BLVD # 305307, MIAMI, FL 33181-3155
(305) 538-8835
(305) 994-0054
Mailing address
11645 BISCAYNE BLVD STE 207, MIAMI, FL 33181-3138
(305) 538-8835
(305) 994-0054
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME146120
FL
207V00000X
Obstetrics & Gynecology Physician
Q9023
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107545100
—
FL
Enumeration date
04/10/2012
Last updated
11/18/2024
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