Individual provider Active NPI

Jose Salvador Santos, MD

  • Family Medicine Physician
  • Kissimmee, FL
National Provider Identifier
1972694644
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME66705 Issued in FL
Practice address
3372 W Southport Rd
Kissimmee, FL 34746-2706
Phone
(407) 933-7900
Fax
(321) 437-0072
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME66705 FL Primary

Addresses

Primary practice location

3372 W Southport Rd
Kissimmee, FL 34746-2706

Mailing address

6675 Westwood Blvd Ste 475
Orlando, FL 32821-6027
Phone (407) 845-0330

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
I20190620001114 FL Practitioner - Family Practice 9739270737 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Soffer Heart Institute PA CurrentSince Nov 3, 2012 Accepting new patients
Medical Home Alliance LLC CurrentSince Jul 28, 2022 Accepting new patients
Humberto Nunez MD PA Family Medicine CurrentSince Jun 30, 2018 Accepting new patients
Medical Home Alliance LLC Past Accepting new patients
Orlando Family Physicians, LLC PastSince Jan 5, 2025 Accepting new patients

Locations

2131 Hollywood Blvd
Ste 101
Hollywood, FL 33020
Phone 30527355114002

3372 W Southport Rd
Kissimmee, FL 34746
Phone (407) 933-7900

2300 W 84th St
Ste 501
Miami Lakes, FL 33016
Phone (305) 273-5511

6675 Westwood Blvd
Ste 475
Orlando, FL 32821
Phone (407) 845-0384

6501 Sunset Strip
Sunrise, FL 33313
Phone (954) 742-4666

199 Avenue K SE
Winter Haven, FL 33880
Phone (563) 588-1424

110 E Savannah Ave
Bldg B
McAllen, TX 78503
Phone (956) 686-7611

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1972694644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6675 WESTWOOD BLVD STE 475",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328216027",
            "telephone_number": "407-845-0330",
            "fax_number": "888-972-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3372 W SOUTHPORT RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347462706",
            "telephone_number": "407-933-7900",
            "fax_number": "321-437-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "JOSE",
        "middle_name": "SALVADOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME66705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.