Individual provider Active NPI

Angela Maria Colon Santiago, M.D

  • General Practice Physician
  • Winter Haven, FL
National Provider Identifier
1477863025
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN647 Issued in FL
Practice address
950 1St St S
Winter Haven, FL 33880-3665
Phone
(863) 295-5604
Fax
(863) 295-5398
NPI assigned
Oct 18, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 18042 PR
General Practice Physician 208D00000X ACN647 FL Primary

Addresses

Primary practice location

950 1St St S
Winter Haven, FL 33880-3665

Mailing address

2600 S Douglas Rd Ste 308
Coral Gables, FL 33134-6134
Phone (863) 295-5604

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160111001305 FL Practitioner - General Practice 9931378262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2600 S Douglas Rd
Suite 308
Coral Gables, FL 33134-6134

2600 S Douglas Rd
Suite 308
Coral Gables, FL 33136-6134

9115 SW 52ND St
Miami, FL 33165-6658

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Home Alliance LLC CurrentSince Aug 15, 2021 Accepting new patients
Palm Medical Center - Aventura, LLC CurrentSince Aug 18, 2025 Accepting new patients
Health Holdings Company LLC Current Accepting new patients
Palm Medical Centers General Practice CurrentSince Aug 18, 2025 Accepting new patients
Best Value Healthcare LLC CurrentSince Jan 7, 2020 Accepting new patients
Best Value Healthcare LLC PastSince Jun 22, 2021 Accepting new patients
Medical Home Alliance LLC Past Accepting new patients

Locations

2600 S Douglas Rd
Ste 308
Coral Gables, FL 33134
Phone (305) 777-9590

2150 W 76th St
Ste 110
Hialeah, FL 33016
Phone (305) 821-9791

684 State Road 60 W
Lake Wales, FL 33853
Phone (863) 949-4668

2382 Griffin Rd
Lakeland, FL 33810
Phone (863) 225-2627

135 E 1st St
Lakeland, FL 33805
Phone (863) 686-2728

3800 E Bay Dr
Largo, FL 33771
Phone (727) 539-0505

525 Pine Island Rd
Ste A
North Fort Myers, FL 33903
Phone (239) 984-2399

733 S Goldenrod Rd
Ste B
Orlando, FL 32822
Phone (407) 249-7999

6675 Westwood Blvd
Ste 475
Orlando, FL 32821
Phone (407) 845-0384

1509 W Reynolds St
Plant City, FL 33563
Phone (813) 704-6905

950 1st St S
Winter Haven, FL 33880
Phone (863) 293-7778

6836 Medical View Ln
Zephyrhills, FL 33542
Phone (813) 778-0454

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1477863025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 S DOUGLAS RD STE 308",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346134",
            "telephone_number": "863-295-5604",
            "fax_number": "863-295-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 1ST ST S",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803665",
            "telephone_number": "863-295-5604",
            "fax_number": "863-295-5398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON SANTIAGO",
        "first_name": "ANGELA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18042",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.