Individual
SANTIAGO HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5301 S CONGRESS AVE, ATLANTIS, FL 33462-1149
(561) 548-3727
(561) 548-1238
Mailing address
DEPT AT 952288, ATLANTA, GA 31192-0001
(305) 503-6320
(305) 503-6329
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
ME62568
FL
2085R0203X
Therapeutic Radiology Physician
Primary
ME62568
FL
2085R0204X
Vascular & Interventional Radiology Physician
ME62568
FL
Other
Enumeration date
02/22/2006
Last updated
09/18/2007
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