Organization Active NPI

Dr. Leonor Santos M.D. Gastroenterology, LLC

  • Gastroenterology Physician
  • Clermont, FL
National Provider Identifier
1811292899
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME77216 Issued in FL
Legal business name
DR. LEONOR SANTOS M.D. GASTROENTEROLOGY, LLC
Practice address
255 Citrus Tower Blvd Ste 202
Clermont, FL 34711-1906
Phone
(352) 404-8840
Fax
(352) 404-8842
NPI assigned
Jan 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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

Authorized official

Name
Dr. Leonor Santos, M.D.
Title
Owner
Phone
(352) 404-8840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X ME77216 FL Primary

Addresses

Primary practice location

255 Citrus Tower Blvd Ste 202
Clermont, FL 34711-1906

Mailing address

PO Box 121108
Clermont, FL 34712-1108
Phone (352) 404-8840

National Provider Directory

National Provider Directory

Locations

225 Citrus Tower Blvd 202
Clermont, FL 34711
Phone (352) 404-8840

NPI Registry JSON

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295827200000",
    "number": "1811292899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 121108",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347121108",
            "telephone_number": "352-404-8840",
            "fax_number": "352-404-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 CITRUS TOWER BLVD STE 202",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111906",
            "telephone_number": "352-404-8840",
            "fax_number": "352-404-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LEONOR SANTOS M.D. GASTROENTEROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-01-24",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "LEONOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-404-8840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME77216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; 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.