Organization Active NPI

Santiago W Calderon MD PA

  • Infectious Disease Physician
  • Orange City, FL
National Provider Identifier
1497037030
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME0070874 Issued in FL
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

Updated by the provider on Sep 9, 2011

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)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 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.

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.

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.

Verify at the official NPI Registry.