Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | ME132512 | FL |
N | 207PP0204X | Pediatric Emergency Physician | Q0357 | TX |
NPI | 1467740423 |
---|---|
Provider Name | Claritsa Santos-Malave |
First Address | Pembroke Pines, FL 33028-1697 |
Second Address | Hollywood, FL 33021-5402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2011 |
Last Update Date | 16/03/2021 |