Provider Demographics
NPI:1487966594
Name:ANAYS SANTANA-IZQUIERDO MD PA
Entity type:Organization
Organization Name:ANAYS SANTANA-IZQUIERDO MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANAYS
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTANA-IZQUIERDO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-444-5008
Mailing Address - Street 1:PO BOX 144410
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33114-4410
Mailing Address - Country:US
Mailing Address - Phone:305-444-5008
Mailing Address - Fax:305-444-4941
Practice Address - Street 1:2601 SW 37TH AVE
Practice Address - Street 2:SUITE 501
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33133-2700
Practice Address - Country:US
Practice Address - Phone:305-444-5008
Practice Address - Fax:305-444-4941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-06
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty