| Dr Rafael Antonio Santiago-gonzalez, MD | |
|
10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | |
| (727) 398-6661 | |
| (727) 398-9440 |
| Full Name | Dr Rafael Antonio Santiago-gonzalez |
|---|---|
| Gender | Male |
| Speciality | Pain Medicine - Interventional Pain Medicine |
| Location | 10000 Bay Pines Blvd, Bay Pines, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366480543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | ME96525 (Florida) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | ME96525 (Florida) | Primary |
| Entity Name | Radial Health Southeast Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174159891 PECOS PAC ID: 7113357476 Enrollment ID: O20200429000224 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Rafael Antonio Santiago-gonzalez, MD 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 Ph: (727) 398-6661 | Dr Rafael Antonio Santiago-gonzalez, MD 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 Ph: (727) 398-6661 |
Luiz De Souza, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 10000 Bay Pines Blvd, Building 2, Room 328, Bay Pines, FL 33744 Phone: 727-398-6661 | |
Dr. Jennifer M. Burns, M.D. Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 10000 Bay Pines Blvd, Bay Pines, FL 33744 Phone: 727-398-6661 Fax: 727-398-9440 |