Organization Active NPI

Hydration Squad LLC

  • Pain Medicine (Anesthesiology) Physician
  • Orlando, FL
National Provider Identifier
1972364685
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
HYDRATION SQUAD LLC
Practice address
10743 Narcoossee Rd Ste A12
Orlando, FL 32832-6946
Phone
(407) 810-3933
NPI assigned
Jan 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Authorized official

Name
Lisgelia Santana, MD
Title
Owner
Phone
(407) 810-3933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

10743 Narcoossee Rd Ste A12
Orlando, FL 32832-6946

Mailing address

10743 Narcoossee Rd Ste A12
Orlando, FL 32832-6946
Phone (407) 810-3933

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1972364685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10743 NARCOOSSEE RD STE A12",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328326946",
            "telephone_number": "407-810-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10743 NARCOOSSEE RD STE A12",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328326946",
            "telephone_number": "407-810-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDRATION SQUAD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "SANTANA",
        "authorized_official_first_name": "LISGELIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-810-3933",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.