Jose O De Los Santos, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME86285 Issued in FL

Practice address

120 N.W. 12 St.
Homestead, FL 33030

Phone

(786) 243-1990

Fax

(786) 243-9590

NPI assigned

Sep 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518060409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N.W. 12 ST.",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "33030",
            "telephone_number": "786-243-1990",
            "fax_number": "786-243-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N.W. 12 ST.",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "33030",
            "telephone_number": "786-243-1990",
            "fax_number": "786-243-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LOS SANTOS",
        "first_name": "JOSE",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME86285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxana de la Caridad De Leon Benitez
• Adriana De Leon Otero, RBT
• Lisdaimy M De Leon Perez
• Carlos De Leon
• Daylin De Leon
• Christine Manika De Mel, MSW
• Michely De Oliveira
• Lazaro F De Paz Perez, REGISTERED NURSE
• Vanessa Johanna De Vera, DMD
• Silvia De Wynne, LAC, AP

• General Practice Physician in Homestead, FL
• Providers in Homestead, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.