Individual provider Active NPI

Carlos E Santiago, M.D.F.A.C.S.

  • Specialist
  • South Miami, FL
National Provider Identifier
1558318923
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0050094 Issued in FL
Practice address
6705 S Red Rd
Suite 504
South Miami, FL 33143-3622
Phone
(305) 669-7331
Fax
(305) 669-7337
NPI assigned
May 30, 2006
Last updated
Feb 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0050094 FL Primary

Addresses

Primary practice location

6705 S Red Rd
Suite 504
South Miami, FL 33143-3622

Mailing address

6705 S Red Rd Ste 504
South Miami, FL 33143-3644
Phone (305) 669-7331

Other identifiers 1

IdentifierTypeStateIssuer
046772300MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CARLOS.SANTIAGO@hca4.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0050094FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Pierce Orthopaedics LLC PastSince Apr 1, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: carlos.santiago@hca4.eclinicaldirectplus.com
  • Direct secure messaging: wghcsanti@yourcarecommunity.org

Organizations & group practices 1

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1558318923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6705 S RED RD STE 504",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433644",
            "telephone_number": "305-669-7331",
            "fax_number": "305-669-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 S RED RD",
            "address_2": "SUITE 504",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433622",
            "telephone_number": "305-669-7331",
            "fax_number": "305-669-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "CARLOS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.F.A.C.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0050094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046772300",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CARLOS.SANTIAGO@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "6705 S Red Rd",
            "address_2": "SUITE 504",
            "city": "South Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331433622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.