Active NPI
Ricardo Santayana MD PA
- Internal Medicine Physician
- Tampa, FL
National Provider Identifier
1104132000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME43689
- Legal business name
- RICARDO SANTAYANA MD PA
- Practice address
- 3201 W Waters Ave
Suite B
Tampa, FL 33614-2879 - Phone
- (813) 932-7303
- Fax
- (813) 932-1923
- NPI assigned
- Aug 30, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ricardo Santayana, MD
- Title
- President
- Phone
- (813) 932-7303
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME43689 | FL | Primary |
Addresses
Primary practice location
3201 W Waters Ave
Suite B
Tampa, FL 33614-2879
Mailing address
3201 W Waters Ave
Suite B
Tampa, FL 33614-2879
Phone (813) 932-7303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 695190 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
3201 W Waters Ave
Ste B
Tampa, FL 33614
Phone (813) 932-7303
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1013907088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283126400000",
"number": "1104132000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"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"
},
{
"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": {
"organization_name": "RICARDO SANTAYANA MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-30",
"last_updated": "2010-08-30",
"status": "A",
"authorized_official_last_name": "SANTAYANA",
"authorized_official_first_name": "RICARDO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "813-932-7303",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME43689",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "695190",
"state": "FL"
}
],
"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 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.