Gutierrez Santana, Nidia

Gutierrez Santana, Nidia is an sole proprietor health care provider with primary practice located at 1190 Dove Ave , Miami Springs FL 33166-3102. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Gutierrez Santana, Nidia can be contacted via phone (561) 480-1317.

Contact Information

Primary practice address
1190 Dove Ave Miami Springs FL 33166-3102
Phone: (561) 480-1317
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-1833814 Florida
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 11833814 Florida

Profile Details

NPI number 1851748677
LBN Legal business name Gutierrez Santana, Nidia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2016
Last updated Jun 16th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851748677 NPPES
Florida MEDICAID 018057500

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