Jorge Santander MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME83255 Issued in FL

Legal business name

JORGE SANTANDER MD PA

Practice address

4080 SW 84TH Ave
Ste D
Miami, FL 33155-4201

Phone

(305) 223-1140

Fax

(305) 223-1174

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Jorge Santander, MDNPI 1467499285

Title

President

Phone

(305) 223-1140

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Jorge L Santander MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jorge Santander, MD PHD

  • Family Medicine Physician
  • Miami, FL
  • NPI 1912037318
  NPD tax ID

Locations

Practitioners 1

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

• Jorge Luis Santander, MD

  • Family Medicine Physician
  • Miami, FL
  • NPI 1467499285
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264982400000",
    "number": "1417004789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 SW 84TH AVE",
            "address_2": "STE D",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554201",
            "telephone_number": "305-223-1140",
            "fax_number": "305-223-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 SW 84TH AVE",
            "address_2": "STE D",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554201",
            "telephone_number": "305-223-1140",
            "fax_number": "305-223-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE SANTANDER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2010-02-01",
        "status": "A",
        "authorized_official_last_name": "SANTANDER",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-223-1140",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME83255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maylin Jorge Orosco
• Jorge R Garcia, O.D., P.a.
• Lydia M Jorge Reynolds, MD
• Caridad Jorge Riveron
• Jorge Rodriguez MD PA
• Jorge Santander, MD PHD
• Jenniev Jorge Simeon
• Ada E Jorge
• Allan M. Jorge, MD
• Anyelis Jorge

• Family Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; 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.