Organization Active NPI

Ramon Santiago M D P a

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1245408616
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RAMON SANTIAGO M D P A
Practice address
13250 N 56TH St
Suite101
Tampa, FL 33617-1107
Phone
(813) 988-1984
Fax
(813) 988-0240
NPI assigned
Feb 19, 2008
Last updated
May 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Dr. Ramon Santiago, MDNPI 1013923713
Title
Owner
Phone
(813) 988-1984

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)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

13250 N 56TH St
Suite101
Tampa, FL 33617-1107

Mailing address

13250 N 56TH St
Suite101
Tampa, FL 33617-1107
Phone (813) 988-1984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080401000049 FL Part B Supplier - Clinic/Group Practice 5496831448 Receives reassigned benefits from 1 practitioner
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Locations

13250 N 56th St
Ste 101
Temple Terrace, FL 33617
Phone (813) 988-1984

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1245408616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13250 N 56TH ST",
            "address_2": "SUITE101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336171107",
            "telephone_number": "813-988-1984",
            "fax_number": "813-988-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13250 N 56TH ST",
            "address_2": "SUITE101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336171107",
            "telephone_number": "813-988-1984",
            "fax_number": "813-988-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMON SANTIAGO M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "RAMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-988-1984",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "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 May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.