Organization Active NPI

Santiago Montoya MD Corp

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1306011853
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0071746 Issued in FL
Legal business name
SANTIAGO MONTOYA MD CORP
Practice address
10404 W Flagler St
Suite # 15
Miami, FL 33174-1615
Phone
(305) 559-0278
Fax
(305) 559-3608
NPI assigned
Apr 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Authorized official

Name
Santiago Bernabe Montoya, MD
Title
President
Phone
(305) 559-0278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME0071746 FL Primary

Addresses

Primary practice location

10404 W Flagler St
Suite # 15
Miami, FL 33174-1615

Mailing address

10404 W Flagler St
Suite # 15
Miami, FL 33174-1615
Phone (305) 559-0278

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263945600000",
    "number": "1306011853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10404 W FLAGLER ST",
            "address_2": "SUITE # 15",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331741615",
            "telephone_number": "305-559-0278",
            "fax_number": "305-559-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10404 W FLAGLER ST",
            "address_2": "SUITE # 15",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331741615",
            "telephone_number": "305-559-0278",
            "fax_number": "305-559-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTIAGO MONTOYA MD CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2010-01-20",
        "status": "A",
        "authorized_official_last_name": "MONTOYA",
        "authorized_official_first_name": "SANTIAGO",
        "authorized_official_middle_name": "BERNABE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-559-0278",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0071746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.

Verify at the official NPI Registry.