| Ramon Santiago M D P A | |
|
13250 N 56th St Suite101 Tampa FL 33617-1107 | |
| (813) 988-1984 | |
| (813) 988-0240 |
| Full Name | Ramon Santiago M D P A |
|---|---|
| Speciality | Family Medicine |
| Location | 13250 N 56th St, Tampa, Florida |
| Authorized Official Name and Position | Ramon Santiago (OWNER) |
| Authorized Official Contact | 8139881984 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ramon Santiago M D P A 13250 N 56th St Suite101 Tampa FL 33617-1107 Ph: (813) 988-1984 | Ramon Santiago M D P A 13250 N 56th St Suite101 Tampa FL 33617-1107 Ph: (813) 988-1984 |
| NPI Number | 1245408616 |
|---|---|
| Provider Enumeration Date | 02/19/2008 |
| Last Update Date | 05/21/2008 |
| Medicare PECOS PAC ID | 5496831448 |
|---|---|
| Medicare Enrollment ID | O20080401000049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245408616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ramon Santiago |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013923713 PECOS PAC ID: 6507940350 Enrollment ID: I20080303000745 |
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