Mr Luis Emilio Santiago, ARNP, FNP-C | |
127 Ridge Center Dr, Davenport, FL 33837-6401 | |
(863) 421-7400 | |
(863) 421-7448 |
Full Name | Mr Luis Emilio Santiago |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 127 Ridge Center Dr, Davenport, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699423012 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN11018683 (Florida) | Secondary |
363LF0000X | Nurse Practitioner - Family | 11018683 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Health Holdings Company Llc | 8224323050 | 61 |
Entity Name | Medical Home Alliance, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740527811 PECOS PAC ID: 6406096536 Enrollment ID: O20130712000249 |
Entity Name | Health Holdings Company Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336583707 PECOS PAC ID: 8224323050 Enrollment ID: O20160818001144 |
Entity Name | Transtreme Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003290453 PECOS PAC ID: 9739574039 Enrollment ID: O20221102000549 |
Entity Name | Monogram Health Professional Services Of Florida Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538883111 PECOS PAC ID: 0244608149 Enrollment ID: O20221128001413 |
Mailing Address | Practice Location Address |
---|---|
Mr Luis Emilio Santiago, ARNP, FNP-C 2600 S Douglas Rd Ste 308, Coral Gables, FL 33134-6134 Ph: (305) 913-9454 | Mr Luis Emilio Santiago, ARNP, FNP-C 127 Ridge Center Dr, Davenport, FL 33837-6401 Ph: (863) 421-7400 |
Briana Brown, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7575 Osceola Polk Line Rd, Davenport, FL 33896 Phone: 321-677-0531 | |
Kelly Marie Lafond, RN, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 141 Webb Drive, Suite 300, Davenport, FL 33837 Phone: 863-422-0020 Fax: 863-422-0021 | |
Karen R Elias Valladares, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 191 Heather Lynn Dr, Davenport, FL 33897 Phone: 703-626-7788 | |
Obinna Nwulu, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3063 Serendipity Way, Davenport, FL 33896 Phone: 407-556-5762 | |
Ophelia Dacosta-green, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2217 North Blvd W, Davenport, FL 33837 Phone: 863-421-3456 Fax: 863-421-3466 | |
Catherine Reynolds, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2516 Sand Mine Rd, Davenport, FL 33897 Phone: 863-232-5527 | |
Eileen J Ruiz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2201 North Blvd W, Davenport, FL 33837 Phone: 863-419-0688 |