Active NPI
Inocente Osvaldo Santiago III, MD
- Family Medicine Physician
- Key West, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME150394
- Practice address
- 727 Fort St
Key West, FL 33040-7307 - Phone
- (305) 253-5100
- NPI assigned
- Mar 28, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | ME150394 | FL | Primary |
Addresses
Primary practice location
727 Fort St
Key West, FL 33040-7307
Mailing address
727 Fort St
Key West, FL 33040-7307
Other practice location 1
1707 N Main St
Gainesville, FL 32609-3650
Phone (352) 265-1234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Florida College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
810 W Mowry Dr
Homestead, FL 33030-5746
Phone (305) 248-6037
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME150394 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health of South Florida Inc | Current | Accepting new patients | |
| Community Health of South Florida Inc | Current | Accepting new patients | |
| Community Health of South Florida, Inc | Current | Accepting new patients | |
| Florida Clinical Practice Association Inc | Family Medicine | Past | Accepting new patients |
| Community Health of South Florida, Inc. | Past | Accepting new patients |
Locations
10300 SW 216th St
Cutler Bay, FL 33190
810 W Mowry Dr
Homestead, FL 33030
Phone (305) 242-6040
727 Fort St
Key West, FL 33040
2805 Overseas Hwy
Marathon, FL 33050
Phone (305) 743-4000
Interoperability endpoints
- isantiago153984@direct.shands.ufl.edu
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Miami, FL
- NPI 1336152347
-
- Federally Qualified Health Center (FQHC)
- Homestead, FL
- NPI 1821251331
-
- Federally Qualified Health Center (FQHC)
- Key Largo, FL
- NPI 1417704198
-
- Federally Qualified Health Center (FQHC)
- Naranja, FL
- NPI 1023271855
-
dba UF Health Physicians
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
Family Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lower Keys Medical Center
- General Acute Care Hospital
- Key West, FL
- NPI 1619922077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626739200000",
"number": "1437654704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "727 FORT ST",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330407307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "727 FORT ST",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330407307",
"telephone_number": "305-253-5100"
}
],
"practiceLocations": [
{
"address_1": "1707 N Main St",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326093650",
"country_code": "US",
"telephone_number": "352-265-1234",
"fax_number": "352-265-9584",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTIAGO",
"first_name": "INOCENTE",
"middle_name": "OSVALDO",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-28",
"last_updated": "2021-07-20",
"certification_date": "2021-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME150394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Key West, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.