| Gerardo Santos Psyd P A | |
|
6625 Miami Lakes Dr Suite 326 Miami Lakes FL 33014-2708 | |
| (305) 777-3881 | |
| (305) 777-3802 |
| Full Name | Gerardo Santos Psyd P A |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 6625 Miami Lakes Dr, Miami Lakes, Florida |
| Authorized Official Name and Position | Gerardo Santos (PRESIDENT) |
| Authorized Official Contact | 3057773881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerardo Santos Psyd P A 6625 Miami Lakes Dr Suite 326 Miami Lakes FL 33014-2708 Ph: (305) 777-3881 | Gerardo Santos Psyd P A 6625 Miami Lakes Dr Suite 326 Miami Lakes FL 33014-2708 Ph: (305) 777-3881 |
| NPI Number | 1154510212 |
|---|---|
| Provider Enumeration Date | 10/15/2007 |
| Last Update Date | 10/15/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154510212 | NPI | - | NPPES |
| PY7282 | Other | FL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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