Doctor Name: | DR. SANTIAGO A CARDENAS |
NPI Number: | 1245238203 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME81032 |
Business Practice Address: | 3401 West 4 Ave Hialeah, FL - 330124309 |
Business Phone Number: | 3058233312 |
Business Fax Number: | 3058237932 |
Mailing Address: | 3401 West 34 Street, HIALEAH |
State: | FL |
Postal Code: | 330124309 |
Phone Number: | 3058233312 |
Fax Number: | 3058237932 |
NPI Enumeration Date: | 07/13/2005 |
NPI Last Update Date: | 03/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME81032 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |