Individual provider Active NPI

Santiago Jesus Forteza Aluicio, MD

  • General Practice Physician
  • Pompano Beach, FL
National Provider Identifier
1730987595
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1714 Issued in FL
Practice address
1990 N Federal Hwy
Pompano Beach, FL 33062-1032
Phone
(954) 942-2247
NPI assigned
Mar 6, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 024277 PR
General Practice Physician 208D00000X ACN1714 FL Primary

Addresses

Primary practice location

1990 N Federal Hwy
Pompano Beach, FL 33062-1032

Mailing address

14343 SW 97TH LN
Miami, FL 33186-1157
Phone (786) 307-7852

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250428002650 FL Practitioner - General Practice 5193241669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14343 SW 97TH LN
Miami, FL 33186-1157

17801 Murdock Cir
Unit C
Port Charlotte, FL 33948-4003

9725 NW 117TH Ave
Medley, FL 33178-1142

9725 NW 117TH Ave
Suite 200
Medley, FL 33178-1260

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024277PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cano Health, LLC General Practice CurrentSince Apr 22, 2025 Accepting new patients

Locations

9725 NW 117th Ave
Ste 200
Medley, FL 33178
Phone 9545149360 ext. 8515

680 N University Dr
Pembroke Pines, FL 33024
Phone (954) 538-6868

1990 N Federal Hwy
Ste A
Pompano Beach, FL 33062
Phone (954) 532-9201

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1741219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1730987595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14343 SW 97TH LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861157",
            "telephone_number": "786-307-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 N FEDERAL HWY",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621032",
            "telephone_number": "954-942-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTEZA ALUICIO",
        "first_name": "SANTIAGO",
        "middle_name": "JESUS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "024277",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.