Individual provider Active NPI

Juan Carlos De Los Santos, MD

  • General Practice Physician
  • Ocala, FL
National Provider Identifier
1003885823
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN373 Issued in FL
Practice address
194 Marion Oaks Blvd
Ocala, FL 34473-2215
Phone
(352) 421-3550
Fax
(844) 388-6186
NPI assigned
Mar 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 14911 PR
General Practice Physician 208D00000X ACN373 FL Primary

Addresses

Primary practice location

194 Marion Oaks Blvd
Ocala, FL 34473-2215

Mailing address

601 S Harbour Island Blvd Ste 200
Tampa, FL 33602-5925
Phone (800) 480-5243

Other practice location 1

1425 S US 301
Sumterville, FL 33585-5141
Phone (352) 793-5900

Other practice location 2

7205 SE Maricamp Rd
Ocala, FL 34472-2105
Phone (352) 680-7000

Other practice location 3

2901 SW 41st St Apt 1511
Ocala, FL 34474-6200
Phone (727) 365-7302

Other names 1

  • Dr. Juan Carlos De Los Santos Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230209001992 FL Practitioner - General Practice 4284531500 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ACN373FLMDGeneral Practice Physician
14911PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Children and Families Current Accepting new patients
Florida Department of Children and Families CurrentSince Jan 5, 2025 Accepting new patients

Locations

7487 S State Road 121
Macclenny, FL 32063
Phone (904) 259-6211

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHFFBD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1003885823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S HARBOUR ISLAND BLVD STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025925",
            "telephone_number": "800-480-5243",
            "fax_number": "800-928-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 MARION OAKS BLVD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344732215",
            "telephone_number": "352-421-3550",
            "fax_number": "844-388-6186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 S US 301",
            "address_purpose": "LOCATION",
            "city": "Sumterville",
            "state": "FL",
            "postal_code": "335855141",
            "country_code": "US",
            "telephone_number": "352-793-5900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7205 SE Maricamp Rd",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344722105",
            "country_code": "US",
            "telephone_number": "352-680-7000",
            "fax_number": "855-241-5268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2901 SW 41st St Apt 1511",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344746200",
            "country_code": "US",
            "telephone_number": "727-365-7302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LOS SANTOS",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14911",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUAN",
            "last_name": "DE LOS SANTOS",
            "middle_name": "CARLOS",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.