| Dr Mario A Santiago, MD | |
|
737 S Semoran Blvd, Orlando, FL 32807-3121 | |
| (321) 247-4960 | |
| Not Available |
| Full Name | Dr Mario A Santiago |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 737 S Semoran Blvd, Orlando, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215998976 | NPI | - | NPPES |
| N0716 | Other | FL | MEDICARE |
| 101875500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 14652 (Puerto Rico) | Secondary |
| 208D00000X | General Practice | ACN648 (Florida) | Primary |
| Entity Name | Rodolfo Dumenigo Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932150919 PECOS PAC ID: 8325030737 Enrollment ID: O20040402000858 |
| Entity Name | Centerwell Senior Primary Care Fl Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487686705 PECOS PAC ID: 9830184738 Enrollment ID: O20040419001657 |
| Entity Name | Miami Beach Medical Consultants, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891032819 PECOS PAC ID: 2365807799 Enrollment ID: O20230508001323 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mario A Santiago, MD 6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168 Ph: (305) 500-2000 | Dr Mario A Santiago, MD 737 S Semoran Blvd, Orlando, FL 32807-3121 Ph: (321) 247-4960 |
Baha Aldeen Bani Fawwaz, MBBS General Practice Medicare: Medicare Enrolled Practice Location: 2501 N Orange Ave Ste 235, Orlando, FL 32804 Phone: 407-303-7270 | |
Dr. Nhung Thi Tran, M.D General Practice Medicare: Not Enrolled in Medicare Practice Location: 4000 Central Florida Blvd, Orlando, FL 32816 Phone: 407-823-2098 Fax: 407-823-6932 | |
Dr. Marcos Antonio Rivera Roman, MD General Practice Medicare: Medicare Enrolled Practice Location: 1130 S Semoran Blvd Ste B-c, Orlando, FL 32807 Phone: 407-382-1376 | |
Dr. Juan Carlos Cantu, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 7359 Lake Underhill Rd, Orlando, FL 32822 Phone: 407-900-9284 Fax: 407-203-8887 | |
Dr. Miguel Angel Pereira Sosa, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 6210 W Colonial Dr Ste 100, Orlando, FL 32808 Phone: 407-931-0444 Fax: 407-962-4446 | |
Abhishek Mishra, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 12301 Lake Underhill Rd Ste 215, Orlando, FL 32828 Phone: 321-235-0692 Fax: 321-235-0694 | |
Dr. Dariusz Grzegorz Mydlarz, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 6336 W Colonial Dr, Orlando, FL 32818 Phone: 407-219-5200 Fax: 321-281-8700 |