Santiago Fragoso Sr.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

419539 Issued in NU

Practice address

5453 Chandler Dr
Winter Haven, FL 33884-4155

Phone

(606) 585-8523

NPI assigned

Aug 5, 2018

Last updated

Aug 5, 2018By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Matheaven

  dba Mat L.L.C.

  • Physiological Laboratory
  • Bartow, FL
  • NPI 1124682935

  Non-Emergency Medical Transport (Van)

  NPD (past)

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

{
    "created_epoch": "1533427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533427200000",
    "number": "1649758210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5453 CHANDLER DR",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338844155",
            "telephone_number": "606-585-8523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5453 CHANDLER DR",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338844155",
            "telephone_number": "606-585-8523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAGOSO",
        "first_name": "SANTIAGO",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-05",
        "last_updated": "2018-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": "419539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tymeisha Ann Forte
• Karol Enrique Fortich, MD
• Chrisjonna Foster, APRN
• Robert Arries Foster, MD
• Molly Leigh Fox, APRN
• Roberto J Fraile, M.D.
• Andrea Francis, M.D.
• Candice Franklin
• Ciandra Franklin, MD
• Gheelah J Franklin, OTA

• Non-emergency Medical Transport (VAN) in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Non-emergency Medical Transport (VAN) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2018; 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.