SANTIAGO M LEYTE VIDAL MD LLC (NPI# 1770791741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770791741 |
| Entity Type | Organization |
| Organization Name | SANTIAGO M LEYTE VIDAL MD LLC |
| Other Organization Name | COCOA BEACH INTERNAL MEDICINE ASSOCIATION |
| Practice Address |
465 Minutemen Cswy Cocoa Beach FL 32931-2881 |
| Practice Telephone | 3217832412 |
| Practice Fax Number | 3217841689 |
| Mailing Telephone | 3217832412 |
| Mailing Fax Number | 3217841689 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-30 |
| Authorized Official Name | DR. SANTIAGO M LEYTE VIDAL JR. (MANAGING MEMBER) |
| Authorized Official Telephone | 3217832412 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Cocoa Beach Internal Medicine Association | Doing Business As Name - Organization |
| Street Address |
465 MINUTEMEN CSWY |
| City | COCOA BEACH |
| State | FL |
| Zip Code | 32931-2881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619940418 | Santiago M Leyte Vidal Jr. | Internal Medicine | 465 Minutemen Cswy, Cocoa Beach, FL 32931-2881 | 2006-02-10 |
| 1891237749 | Sunshine Healthcare Solutions Inc | Internal Medicine | 465 Minutemen Cswy, Num 455, Cocoa Beach, FL 32931-2881 | 2016-11-09 |
| 1164746665 | Sunshine Healthcare Solutions of Brevard LLC | Family Medicine | 465 Minutemen Cswy, Suite 455, Cocoa Beach, FL 32931-2881 | 2010-03-26 |
| 1710086897 | Teresa Sue Fagan | Internal Medicine | 465 Minutemen Cswy, Suite 455, Cocoa Beach, FL 32931-2881 | 2006-09-22 |
| 1013027259 | Lauren E Romeo | Family Medicine | 465 Minutemen Cswy, Cocoa Beach, FL 32931-2881 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699275016 | Daniel Edgar Ferrier | Specialist/Technologist | 741 S Orlando Ave Apt B, Cocoa Beach, FL 32931 | 2018-02-13 |
| 1891206793 | Peace Club Inc. | Counselor | 1811 S. Orlando Avenue, Cocoa Beach, FL 32931 | 2017-10-18 |
| 1811384696 | Magnolia House Assisted Living Facility LLC | Assisted Living Facility | 103 Yacht Haven Drive, Cocoa Beach, FL 32931 | 2015-04-20 |
| 1801236807 | Muhammad Ishfaq | Internal Medicine | 701 W Cocoa Beach Causeway, Cocoa Beach, FL 32931 | 2013-07-05 |
| 1053658799 | Charles King | Pharmacist | 2067 North Atlantic Ave, Cocoa Beach, FL 32931 | 2013-01-15 |
| 1033464441 | Cori Megan Daniels | Nurse Practitioner | 1980 N. Atlantic Ave, Suite 627, Cocoa Beach, FL 32931 | 2012-07-23 |
| 1871850313 | Adel Tadros Fahmy | Obstetrics & Gynecology | 68 Country Club Road, Cocoa Beach, FL 32931 | 2012-04-23 |
| 1497021760 | Armstrong Chiropractic Family Center, Inc. | Clinic/Center | 1401 N. Atlantic Ave., Cocoa Beach, FL 32931 | 2012-03-30 |
| 1710261516 | Jill L Carey | Speech-Language Pathologist | 50 Country Club Rd, Cocoa Beach, FL 32931 | 2011-09-28 |
| 1700173416 | Barbara Greene | Registered Nurse | 26 West Point Drive, Cocoa Beach, FL 32931 | 2011-07-01 |
| Find all providers in zip 32931 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801236807 | Muhammad Ishfaq | Internal Medicine | 701 W Cocoa Beach Causeway, Cocoa Beach, FL 32931 | 2013-07-05 |
| 1831163476 | Robert H Paxson | Internal Medicine | 5505 N Atlantic Ave, Suite 203, Cocoa Beach, FL 32931-5111 | 2006-02-13 |
| 1619940418 | Santiago M Leyte Vidal Jr. | Internal Medicine | 465 Minutemen Cswy, Cocoa Beach, FL 32931-2881 | 2006-02-10 |
| 1750372991 | Joseph Cangney Von Thron | Internal Medicine | 529 S Atlantic Ave, Cocoa Beach, FL 32931-2519 | 2005-11-04 |
| 1790785426 | Dusan Sabol | Internal Medicine | 699 W Cocoa Beach Cswy, Suite 506, Cocoa Beach, FL 32931 | 2005-07-22 |
| 1891237749 | Sunshine Healthcare Solutions Inc | Internal Medicine | 465 Minutemen Cswy, Num 455, Cocoa Beach, FL 32931-2881 | 2016-11-09 |
| 1679790513 | Will Wei Xiong | Internal Medicine | 699 W Cocoa Beach Cswy, Suite 502, Cocoa Beach, FL 32931-3577 | 2007-04-20 |
| 1811041247 | Soo Y Nam | Internal Medicine | 701 W Cocoa Beach Cswy, Cocoa Beach, FL 32931 | 2007-01-23 |
| 1710086897 | Teresa Sue Fagan | Internal Medicine | 465 Minutemen Cswy, Suite 455, Cocoa Beach, FL 32931-2881 | 2006-09-22 |
| 1629180245 | Raymond J Giammanco | Internal Medicine | 701 W Cocoa Beach Cswy, Cch/hospitalist Dept, Cocoa Beach, FL 32931-3585 | 2006-08-31 |
| Find all providers in COCOA BEACH | ||||
| City | COCOA BEACH |
| Zip Code | 32931 |
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| 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.