Santiago, Carlos E

Santiago, Carlos E is an individual health care provider with primary practice located at 6705 S Red Rd Suite 504, South Miami FL 33143-3622. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Santiago, Carlos E can be contacted via phone (305) 669-7331.

Contact Information

Primary practice address
6705 S Red Rd Suite 504 South Miami FL 33143-3622
Fax: (305) 669-7337
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME0050094 Florida

Profile Details

NPI number 1558318923
LBN Legal business name Santiago, Carlos E
Credentials M.D.F.A.C.S.
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Feb 10th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558318923 NPPES
Florida MEDICAID 046772300

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