Organization Active NPI

Julieta Tanedo-Santos MD

  • Primary Care Clinic/Center
  • Kissimmee, FL
National Provider Identifier
1255710992
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME21401 Issued in FL
Legal business name
JULIETA TANEDO-SANTOS MD
Practice address
817 E Oak St
Kissimmee, FL 34744-5838
Phone
(407) 846-3100
NPI assigned
May 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2015

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

Authorized official

Name
Julieta Caibiran Tanedo- Santos, MD
Title
Owner
Phone
(407) 846-3100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X ME21401 FL
Primary Care Clinic/Center 261QP2300X ME21401 FL Primary

Addresses

Primary practice location

817 E Oak St
Kissimmee, FL 34744-5838

Mailing address

817 E Oak St
Kissimmee, FL 34744-5838
Phone (407) 846-3100

National Provider Directory

National Provider Directory

Locations

817 E Oak St
Kissimmee, FL 34744
Phone (407) 846-3100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1255710992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 E OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445838",
            "telephone_number": "407-846-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 E OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445838",
            "telephone_number": "407-846-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIETA TANEDO-SANTOS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "TANEDO- SANTOS",
        "authorized_official_first_name": "JULIETA",
        "authorized_official_middle_name": "CAIBIRAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-846-3100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME21401",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME21401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.