Individual provider Active NPI

Leonor Santos, MD

  • Gastroenterology Physician
  • Clermont, FL
National Provider Identifier
1902914815
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME 77216 Issued in FL
Practice address
255 Citrus Tower Blvd
Suite 202
Clermont, FL 34711-2756
Phone
(352) 404-8840
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME 77216 FL Primary

Addresses

Primary practice location

255 Citrus Tower Blvd
Suite 202
Clermont, FL 34711-2756

Mailing address

255 Citrus Tower Blvd
Suite 202
Clermont, FL 34711-2756
Phone (352) 404-8840

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
I20040129000540 FL Practitioner - Gastroenterology 8224931027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Puerto Rico School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive and Liver Center of FL, LLCGroup PAC ID 2365467867, 23 clinicians

Practice addresses (Care Compare)

100 N Dean Rd
Suite 101
Orlando, FL 32825-3710
Phone (407) 348-7388

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy64
Upper gastrointestinal (GI) endoscopy for acid reflux71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 77216FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive and Liver Center of FL, LLC Gastroenterology CurrentSince Jun 1, 2023 Accepting new patients
Professional Gastroenterology & Nutrition Associates, P.a. Gastroenterology Past Accepting new patients
Primary Care Specialists of Florida, LLC Past Accepting new patients
Dr Leonor Santos M.D. Gastroenterology LLC Past Accepting new patients

Locations

100 N Dean Rd
Ste 101
Orlando, FL 32825
Phone (407) 348-7388

100 N Dean Rd
Ste 100
Orlando, FL 32825

15536 W Colonial Dr
Ste B
Winter Garden, FL 34787
Phone (407) 736-6735

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: leonor.santos@dlcfl.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HJGCAA

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1902914815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 CITRUS TOWER BLVD",
            "address_2": "SUITE 202",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112756",
            "telephone_number": "352-404-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 CITRUS TOWER BLVD",
            "address_2": "SUITE 202",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112756",
            "telephone_number": "352-404-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "LEONOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME 77216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.