Provider Demographics
NPI:1871767715
Name:ORLANDO SANTANDREU MEDICAL PLLC
Entity type:Organization
Organization Name:ORLANDO SANTANDREU MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:ORLANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTANDREU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-445-1716
Mailing Address - Street 1:14601 45TH AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-2200
Mailing Address - Country:US
Mailing Address - Phone:718-445-1716
Mailing Address - Fax:
Practice Address - Street 1:14601 45TH AVE
Practice Address - Street 2:SUITE 208
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-2200
Practice Address - Country:US
Practice Address - Phone:718-445-1716
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY205797207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Single Specialty