Gerardo Santos Psyd P A in Miami Lakes - Clinical

Gerardo Santos Psyd P A - NPI 1154510212

Gerardo Santos Psyd P A is a Clinical in Miami Lakes, Florida. Gerardo Santos Psyd P A practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gerardo Santos Psyd P A is 1154510212. The last update date is 2007-10-15.

Gerardo Santos Psyd P A's current location address is 6625 Miami Lakes Dr, Miami Lakes, Florida. You can contact this provider via phone number 3057773881 and fax number 3057773802. The mailing address for Gerardo Santos Psyd P A is 6625 Miami Lakes Dr, Miami Lakes, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Gerardo Santos Psyd P A
Address 6625 Miami Lakes Dr, Miami Lakes, Florida
Phone Number 3057773881
Fax Number 3057773802
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Santos Gerardo
Credentials PSYD
Telephone Number 3057773881

NPI Number Detail

NPI Number 1154510212
Provider Enumeration Date 2007-10-15
Last Updated Date 2007-10-15

Provider Mailing Address Detail

Address 6625 Miami Lakes Dr
City Miami Lakes
State Florida (FL)
Post Code 330142708
Phone Number 3057773881
Fax Number 3057773802

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PY7282 FL LICENSE

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FAQs about Gerardo Santos Psyd P A

What is the Gerardo Santos Psyd P A's unique identification number?

The Gerardo Santos Psyd P A has been assigned the NPI (National Provider Identifier) Number 1154510212 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Gerardo Santos Psyd P A's physical address?

The Gerardo Santos Psyd P A is physically located at 6625 Miami Lakes Dr, in the city of Miami Lakes, FL, with the postal code 330142708.

What is Gerardo Santos Psyd P A's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Gerardo Santos Psyd P A is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1154510212 to Gerardo Santos Psyd P A?

The Centers for Medicare & Medicaid Services originally issued the 1154510212 to Gerardo Santos Psyd P A on 2007-10-15.

As of what date were the details pertaining to Gerardo Santos Psyd P A last refreshed?

The information related to the Gerardo Santos Psyd P A, including its address, specialty, and other relevant details, was last updated on 2007-10-15.

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