Individual
SOUVENIR MATTEO SANTINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
571 NW 189TH TER, MIAMI, FL 33169-3958
(754) 204-7649
Mailing address
571 NW 189TH TER, MIAMI, FL 33169-3958
(754) 204-7649
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
000206
PR
363AM0700X
Medical Physician Assistant
206PA
PR
Other
Enumeration date
05/13/2021
Last updated
09/07/2022
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