Provider Demographics
NPI:1194607721
Name:SANTOS ACTIVITY CENTER HOMESTEAD
Entity type:Organization
Organization Name:SANTOS ACTIVITY CENTER HOMESTEAD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ORQUIDEA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-344-9819
Mailing Address - Street 1:29645 S DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-3320
Mailing Address - Country:US
Mailing Address - Phone:786-926-3625
Mailing Address - Fax:786-926-3657
Practice Address - Street 1:29645 S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-3320
Practice Address - Country:US
Practice Address - Phone:786-926-3625
Practice Address - Fax:786-926-3657
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SANTOS MEDICAL CENTER HOMESTEAD INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care