Active NPI
Santiago W Calderon MD PA
- Infectious Disease Physician
- Orange City, FL
National Provider Identifier
1497037030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- ME0070874
- Legal business name
- SANTIAGO W CALDERON MD PA
- Practice address
- 1668 S Volusia Ave
Orange City, FL 32763-7335 - Phone
- (386) 668-0200
- NPI assigned
- Sep 9, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Santiago W Calderon, M.D.
- Title
- Predisent
- Phone
- (407) 268-5415
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | ME0070874 | FL | Primary |
Addresses
Primary practice location
1668 S Volusia Ave
Orange City, FL 32763-7335
Mailing address
4916 San Marino Cir
Lake Mary, FL 32746-2608
Phone (407) 268-5415
National Provider Directory
National Provider Directory- Tax ID family
- Santiago W Calderon MD PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Infectious Disease Physician
- Palm Coast, FL
- NPI 1871745976
Locations
1668 S Volusia Ave
Orange City, FL 32763
Phone (386) 668-9831
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Infectious Disease Physician
- Palm Coast, FL
- NPI 1790755759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1315526400000",
"number": "1497037030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4916 SAN MARINO CIR",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327462608",
"telephone_number": "407-268-5415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1668 S VOLUSIA AVE",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327637335",
"telephone_number": "386-668-0200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANTIAGO W CALDERON MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-09",
"last_updated": "2011-09-09",
"status": "A",
"authorized_official_last_name": "CALDERON",
"authorized_official_first_name": "SANTIAGO",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PREDISENT",
"authorized_official_telephone_number": "407-268-5415",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "FL",
"license": "ME0070874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.