Lourdes T Santiago M.D.P.a.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

ME97611 Issued in FL

Legal business name

LOURDES T SANTIAGO M.D.P.A.

Practice address

1305 S Fort Harrison Ave
Building C
Clearwater, FL 33756-3301

Phone

(727) 483-9188

Fax

(727) 412-8432

NPI assigned

Jan 16, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Lourdes SantiagoNPI 1063630259

Title

Surgeon

Phone

(727) 483-9188

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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.

• Lourdes Teresa Santiago, MD

  • Colon & Rectal Surgery Physician
  • Clearwater, FL
  • NPI 1063630259
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1421366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421366400000",
    "number": "1265821094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 S FORT HARRISON AVE",
            "address_2": "BUILDING C",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563301",
            "telephone_number": "727-483-9188",
            "fax_number": "727-412-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 S FORT HARRISON AVE",
            "address_2": "BUILDING C",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563301",
            "telephone_number": "727-483-9188",
            "fax_number": "727-412-8432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOURDES T SANTIAGO M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-16",
        "last_updated": "2015-01-16",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "727-483-9188",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME97611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277873400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lots Care Company Inc
• April Renee Lott, LCSW
• Louis Aviles MD PL
• Sarah Michelle Loupe
• Lourdes T Santiago M D P a
• Monique Love
• Brooke Lovekamp, LCSW
• Lovely Care Manor LLC
• Deric Victor Lovett, DC
• Gordon Brian Lovett, D.C. FIAMA

• Clinic/Center in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; 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.