Doctor Name: | DR. CARLOS FERMIN VIERA SANTOS |
NPI Number: | 1043256472 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME 94213 |
Business Practice Address: | 1840 Forest Hill Blvd Suite 101 West Palm Beach, FL - 334066063 |
Business Phone Number: | 5619641181 |
Business Fax Number: | 5619641196 |
Mailing Address: | 1903 Hollyhock Rd, WELLINGTON |
State: | FL |
Postal Code: | 334148651 |
Phone Number: | 5618041237 |
Fax Number: | |
NPI Enumeration Date: | 06/22/2006 |
NPI Last Update Date: | 08/25/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | ME 94213 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |