Organization Active NPI

Lourdes T Santiago M D P a

  • Colon & Rectal Surgery Physician
  • Clearwater, FL
National Provider Identifier
1932385200
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
ME Issued in FL
Legal business name
LOURDES T SANTIAGO M D P A
Practice address
715 Pinellas St
Clearwater, FL 33756-3426
Phone
(727) 443-9198
NPI assigned
Jan 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
Dr. Lourdes Teresa Santiago, MD
Title
Owner
Phone
(727) 415-8492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208C00000X ME FL Primary

Addresses

Primary practice location

715 Pinellas St
Clearwater, FL 33756-3426

Mailing address

715 Pinellas St
Clearwater, FL 33756-3426
Phone (727) 443-9198

National Provider Directory

National Provider Directory

Locations

715 Pinellas St
Clearwater, FL 33756
Phone (727) 441-8618

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1932385200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 PINELLAS ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563426",
            "telephone_number": "727-443-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 PINELLAS ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563426",
            "telephone_number": "727-443-9198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOURDES T SANTIAGO M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_middle_name": "TERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-415-8492",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "FL",
            "license": "ME",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.