Minerva Santo Tomas Md Pa

LBN: Minerva Santo Tomas Md Pa
Minerva Santo Tomas Md Pa is an health care organization with primary practice located at 6419 Sw 40Th St , Miami FL 33155-4827. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Minerva Santo Tomas Md Pa can be contacted via phone (305) 774-5677, or through Santo Tomas, Minerva via phone (305) 774-5677.

Contact Information

Primary practice address
6419 Sw 40Th St Miami FL 33155-4827
Phone: (305) 774-5677
Fax: (305) 774-5697
Website:
Map and Directions
Authorized official contact:
Name: Santo Tomas, Minerva Doctor of Medicine (MD)
Phone: (305) 774-5677

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME 70314 Florida

Profile Details

NPI number 1629027214
LBN Legal business name Minerva Santo Tomas Md Pa
DBA Doing business as
Authorized official Santo Tomas, Minerva Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2006
Last updated Nov 20th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629027214 NPPES
Florida MEDICAID 254617500

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