Individual provider Active NPI

Ricardo Santayana, MD

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1013907088
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0043689 Issued in FL
Practice address
3201 W Waters Ave
Suite B
Tampa, FL 33614-2879
Phone
(813) 932-7303
Fax
(813) 932-1923
NPI assigned
Oct 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0043689 FL Primary

Addresses

Primary practice location

3201 W Waters Ave
Suite B
Tampa, FL 33614-2879

Mailing address

4803 Tannery Ave
Tampa, FL 33624-4533
Phone (813) 960-0880

Other identifiers 3

IdentifierTypeStateIssuer
1334389007OtherFLCIGNA
870408859OtherFLHUMANA
069519000MedicaidFL

Other names 1

  • Ricardo Santayana Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0043689FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ricardo Santayana MD PA Internal Medicine CurrentSince Jul 13, 2010 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3201 W Waters Ave
Ste B
Tampa, FL 33614
Phone (813) 932-7303

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": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405900800000",
    "number": "1013907088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4803 TANNERY AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336244533",
            "telephone_number": "813-960-0880",
            "fax_number": "813-932-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 W WATERS AVE",
            "address_2": "SUITE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142879",
            "telephone_number": "813-932-7303",
            "fax_number": "813-932-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTAYANA",
        "first_name": "RICARDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2014-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0043689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1334389007",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "870408859",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069519000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICARDO",
            "last_name": "SANTAYANA",
            "credential": "MD., PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.