Santa Rosa de Lima Medical PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME70874 Issued in FL

Legal business name

SANTA ROSA DE LIMA MEDICAL PA

Practice address

1055 Saxon Blvd
Orange City, FL 32763-8468

Phone

(407) 268-5415

NPI assigned

Apr 20, 2006

Organization subpart

No

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

Authorized official

Name

Santiago W. Calderon, M.D.

Title

President

Phone

(407) 268-5415

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

Practitioners 3

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

• Santiago Willman Calderon Perez, MD

  • Infectious Disease Physician
  • Palm Coast, FL
  • NPI 1790755759

  Specialist

  NPD (past)
• Jennifer C Macdonald, ARNP

  • Adult Health Nurse Practitioner
  • Orange City, FL
  • NPI 1710974175
  NPD (past)
• Godson Ifeanyi Oguchi, M.D.

  • Infectious Disease Physician
  • Orange City, FL
  • NPI 1245200906
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227744000000",
    "number": "1679538664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4916 SAN MARINO CIR",
            "address_2": "C/O S. CALDERON, MD",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462608",
            "telephone_number": "407-268-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 SAXON BLVD",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638468",
            "telephone_number": "407-268-5415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA ROSA DE LIMA MEDICAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2008-11-27",
        "status": "A",
        "authorized_official_last_name": "CALDERON",
        "authorized_official_first_name": "SANTIAGO",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-268-5415",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME70874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHEASE",
            "identifier": "150170",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "94709",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "000830802",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL MEMORIAL HEALTH NETWOR",
            "identifier": "13935",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263393100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CH6285",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neil Sandhu, MD
• Sandra Dee MD LLC
• Sandra Dee MD LLC
• Renee Sandusky, AGACNP-BC
• Sanford Pediatric Associates PA
• Santiago W Calderon MD PA
• Juan Santiago, M.D.
• Mason Santspree
• Nicole Elizabeth Sapp, APRN
• Jennifer Lee Satterfield, CNM

• Specialist in Orange City, FL
• Providers in Orange City, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2008; 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.