Gerardo Santos PSYD P a

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

GERARDO SANTOS PSYD P A

Practice address

6625 Miami Lakes Dr
Suite 326
Miami Lakes, FL 33014-2708

Phone

(305) 777-3881

Fax

(305) 777-3802

NPI assigned

Oct 15, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gerardo Santos, PSYD

Title

President

Phone

(305) 777-3881

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1154510212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6625 MIAMI LAKES DR",
            "address_2": "SUITE 326",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142708",
            "telephone_number": "305-777-3881",
            "fax_number": "305-777-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 MIAMI LAKES DR",
            "address_2": "SUITE 326",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142708",
            "telephone_number": "305-777-3881",
            "fax_number": "305-777-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERARDO SANTOS PSYD P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-777-3881",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PY7282",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.