DR. ROBERTO ANTONIO MIRANDA SANTIAGO


Address: 2501 S Vance Dr Ste A, Florence, SC 29505-6163
Phone: 8436794019

DR. ROBERTO ANTONIO MIRANDA SANTIAGO (NPI# 1134163892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134163892
Entity Type Individual
Full Name DR. ROBERTO ANTONIO MIRANDA SANTIAGO
Credential M.D.
Practice Address 2501 S Vance Dr Ste A
Florence
SC 29505-6163
Mailing Address 1013 Hannah Dr
Florence
SC 29505-6377
Practice Telephone 8436794019
Practice Fax Number 8436794022
Mailing Telephone 8436794019
Mailing Fax Number 8436794022
Enumeration Date 2006-06-15
Last Update Date 2016-03-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 37361 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC 373615 05

Office Location

Street Address 2501 S VANCE DR STE A
City FLORENCE
State SC
Zip Code 29505-6163

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912306572 Carolinas Medical Alliance Inc Family Medicine 2501 S Vance Dr Ste A, Florence, SC 29505-6163 2014-08-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245745066 Jessica Hayes Counselor 1414 West Evans Street, Florence, SC 29505 2017-12-04
1467989665 Lelia Denise Mckay Counselor 181 E Evans Street, Florence, SC 29505 2017-05-18
1295187714 Sarah Shaeffer Community Health Worker 3200 S. Irby St, South Florence Hgh School, Florence, SC 29505 2016-07-08
1548616097 Lena Vaughn Bullock Behavioral Analyst 444 2nd Loop Rd, Florence, SC 29505 2016-05-13
1255700332 Carmine J Gargano Physical Therapist 2360 Freedom Blvd Apt C8, Florence, SC 29505 2015-09-18
1417373440 Megan Ann Roy Occupational Therapist 440 Second Loop Rd, Mcleod Pediatric Rehab, Florence, SC 29505 2014-03-14
1669807863 Andrea Carrieri Thomas Dentist 1519 Heritage Lane, Florence, SC 29505 2013-09-06
1508203522 Daniel Carl Skipper Pathology 805 Pamplico Hwy Ste B210, Florence, SC 29505 2013-05-31
1326482928 Total Renal Care Inc Clinic/Center 1520 Flag Dr, Florence, SC 29505 2013-04-25
1346599743 Haley Morgan Carter Pharmacist 513 Cricklewood Dr., Florence, SC 29505 2012-08-31
Find all providers in zip 29505

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164046991 Open Hands Nursing Telehealth Care LLC Family Medicine 1951 Pisgah Rd Rm 104, Florence, SC 29501-6705 2020-06-08
1326672361 Mcleod Physician Associates II Family Medicine 800 E Cheves St Ste 240, Florence, SC 29506-2652 2020-02-28
1356988984 Family Medicine and Mohr Family Medicine 1505a Heritage Ln, Florence, SC 29505-3141 2019-12-02
1841756731 Sonya Whatley Family Medicine 3091 Highway 49 S Ste F, Florence, MS 39073-9446 2019-02-15
1922589704 Mekesha Shaw Family Medicine 1196 Waxwing Dr Unit A, Florence, SC 29505-3846 2018-08-28
1043797723 Richard Sloan Moon Family Medicine 202 W Caskey, Florence, TX 76527 2018-07-25
1568902864 Summit Medical Group Inc Family Medicine 8200 Dixie Hwy, Florence, KY 41042-3225 2017-03-06
1801292396 Stacey Spence Family Medicine 3327 Stockton Dr, Florence, SC 29501-7361 2014-11-10
1063828135 Kevon Mccarty Family Medicine 3235 N Hunt Hwy Ste 103, Florence, AZ 85132-6898 2014-07-09
1023447943 Advantage Family Care Inc Family Medicine 202 Cox Creek Pkwy, Florence, AL 35630-1536 2013-11-02
Find all providers in FLORENCE

Competitor

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City FLORENCE
Zip Code 29505

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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