Provider Demographics
NPI:1154398873
Name:DE LOS SANTOS, MARIA (ARNP)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:DE LOS SANTOS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13737 SW 36TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-7208
Mailing Address - Country:US
Mailing Address - Phone:305-608-1670
Mailing Address - Fax:
Practice Address - Street 1:3006 AVIATION AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-3863
Practice Address - Country:US
Practice Address - Phone:305-354-1004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2018-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1897882363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner