Santurce Medical Center LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SANTURCE MEDICAL CENTER LLC

Practice address

500 Vonderburg Dr Ste 305
Brandon, FL 33511-5976

Phone

(813) 651-0005

Fax

(813) 902-7234

NPI assigned

Aug 16, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Orlando E Mieles, MDNPI 1700149143

Title

MD/Ceo

Phone

(813) 651-0005

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Orlando Enrique Mieles, MD

  • General Practice Physician
  • Brandon, FL
  • NPI 1700149143
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1649725029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 VONDERBURG DR",
            "address_2": "SUITE 305",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115964",
            "telephone_number": "813-624-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 VONDERBURG DR STE 305",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115976",
            "telephone_number": "813-651-0005",
            "fax_number": "813-902-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTURCE MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MIELES",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MD/CEO",
        "authorized_official_telephone_number": "813-651-0005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700149143",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Milagros Santiago
• Romel Powell Santiago, LCSW
• William Santiago, PHARM D, RPH
• Ana Paola Santos-Levy, PA
• Mariely Maritza Santos, DENTIST
• Sapphire Brandon LTD
• Morgan Elizabeth Sarab
• Melody Sarmiento Alonso
• Regino Israel Sarmiento Reyes, APRN-FNP-C
• Shara Jane Lugtu Sarmiento

• General Practice Physician in Brandon, FL
• Providers in Brandon, 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 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.