Mariely Maritza Santos, DENTIST

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24463 Issued in FL

Practice address

520 Oakfield Dr
Brandon, FL 33511-5743

Phone

(813) 812-9144

NPI assigned

Oct 29, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1316581838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11659 TROPICAL ISLE LN",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797281",
            "telephone_number": "813-812-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115743",
            "telephone_number": "813-812-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "MARIELY",
        "middle_name": "MARITZA",
        "credential": "DENTIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "24463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Santiago
• Milagros Santiago
• Romel Powell Santiago, LCSW
• William Santiago, PHARM D, RPH
• Ana Paola Santos-Levy, PA
• Santurce Medical Center LLC
• Sapphire Brandon LTD (Brandon Open MRI)
• Morgan Elizabeth Sarab
• Melody Sarmiento Alonso
• Regino Israel Sarmiento Reyes, APRN-FNP-C

• General Practice Dentistry in Brandon, FL
• Providers in Brandon, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.