Santiago Bernabe Montoya, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0071746 Issued in FL

Practice address

10404 W Flagler St
Suite # 15
Miami, FL 33174-1615

Phone

(305) 559-0278

Fax

(305) 559-3608

NPI assigned

Jul 18, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1740209105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 651219",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332651219",
            "telephone_number": "305-559-0278",
            "fax_number": "305-559-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10404 W FLAGLER ST",
            "address_2": "SUITE # 15",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331741615",
            "telephone_number": "305-559-0278",
            "fax_number": "305-559-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTOYA",
        "first_name": "SANTIAGO",
        "middle_name": "BERNABE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "0071746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250992000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eloisa Carolina Montoya, PSY.D.
• Hany M Montoya
• Juanita Montoya, M.D
• Lester Montoya
• Liseth Viviana Montoya
• Sara Montoya, COTA/L
• Scarlet Patricia Montoya
• Sergio Montoya, M.A.
• Valeria Montoya
• Veronica Montoya

• Family Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.