Provider Demographics
NPI:1194879486
Name:SANTEIRO, JOSE MIGUEL (MD)
Entity type:Individual
Prefix:
First Name:JOSE
Middle Name:MIGUEL
Last Name:SANTEIRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1312 SW 27TH AVE FL 3
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-1243
Mailing Address - Country:US
Mailing Address - Phone:786-360-1600
Mailing Address - Fax:786-452-9685
Practice Address - Street 1:1312 SW 27TH AVE FL 3
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-1243
Practice Address - Country:US
Practice Address - Phone:786-360-1600
Practice Address - Fax:786-452-9685
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2016-02-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME695162084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL255221300Medicaid
FLG80904Medicare UPIN