Active NPI
Carlos E Santiago, M.D.F.A.C.S.
- Specialist
- South Miami, FL
National Provider Identifier
1558318923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME0050094
- 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, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046772300 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME0050094 | FL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Pierce Orthopaedics LLC | Past | Accepting new patients |
Interoperability endpoints
- carlos.santiago@hca4.eclinicaldirectplus.com
- 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.
-
- Orthopaedic Surgery Physician
- Fort Pierce, FL
- NPI 1639246234
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.