Provider Demographics
NPI:1316146723
Name:SANTOS, ANA PAULA (APRN)
Entity type:Individual
Prefix:MS
First Name:ANA
Middle Name:PAULA
Last Name:SANTOS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1644 W HILLSBORO BLVD
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BCH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-1657
Mailing Address - Country:US
Mailing Address - Phone:954-531-0461
Mailing Address - Fax:
Practice Address - Street 1:8175 NW 12TH ST
Practice Address - Street 2:SUITE 306
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33126-1828
Practice Address - Country:US
Practice Address - Phone:786-845-0173
Practice Address - Fax:786-845-0176
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-16
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9195412163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1720171895OtherMIAMI DADE COUNTY HEALTH