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LOURDES T SANTIAGO M.D.P.A. NPI 1265821094


NPI Information

NPI: 1265821094
Provider Name: LOURDES T SANTIAGO M.D.P.A.
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1305 S FORT HARRISON AVE
BUILDING C
CLEARWATER, FL
ZIP 33756
Phone: (727) 483-9188
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LOURDES T SANTIAGO M.D.P.A. is a clinic center in Clearwater, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). LOURDES T SANTIAGO M.D.P.A. NPI is 1265821094. The provider is registered as an organization entity type.

The provider's business location address is:

1305 S FORT HARRISON AVE
BUILDING C
CLEARWATER, FL
ZIP 33756-301
Phone: (727) 483-9188
Fax: (727) 412-8432

The provider's authorized official is Lourdes Santiago .
The authorized official title is Surgeon and has the following contact phone number (727) 483-9188.

The enumeration date for this NPI number is 1/16/2015 and was last updated on 1/16/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterME97611FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1277873400MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.