Active NPI
Jose Luis Santiago Jr., MASSAGE THERAPIST
- Specialist
- Tampa, FL
National Provider Identifier
1023264884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA 53685
- Practice address
- 6551 Spanish Moss Cir
Tampa, FL 33625-6530 - Phone
- (813) 446-0254
- Fax
- (813) 673-8022
- NPI assigned
- Aug 13, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA 53685 | FL | Primary |
Addresses
Primary practice location
6551 Spanish Moss Cir
Tampa, FL 33625-6530
Mailing address
6551 Spanish Moss Cir
Tampa, FL 33625-6530
Phone (813) 446-0254
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA 53685 | FL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218585600000",
"number": "1023264884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6551 SPANISH MOSS CIR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336256530",
"telephone_number": "813-446-0254",
"fax_number": "813-673-8022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6551 SPANISH MOSS CIR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336256530",
"telephone_number": "813-446-0254",
"fax_number": "813-673-8022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO",
"first_name": "JOSE",
"middle_name": "LUIS",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "MASSAGE THERAPIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-13",
"last_updated": "2008-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "MA 53685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.