Juan Santiago (NPI# 1518930155, PAC ID# 5092051904) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1518930155 |
| PAC ID by PECOS | 5092051904 |
| Professional Enrollment ID | I20190115000956 |
| Full Name | Juan Santiago |
| Organization Legal Name | ROY H HINMAN MD PA |
| Address |
747 Fawn Ridge Dr Suite 200 Orange City FL 32763-8268 |
| Phone Number | 3866689800 |
| Gender | F |
| Graduation Year | 1978 |
| Primary Specialty | GENERAL PRACTICE |
| Group Practice PAC ID | 3173584174 |
| Number of Group Practice Members | 60 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100072 | FLORIDA HOSPITAL FISH MEMORIAL |
| 100045 | FLORIDA HOSPITAL DELAND |
| Address | Phone | Organization |
|---|---|---|
| 747 Fawn Ridge Dr, Suite 200, Orange City, FL 32763-8268 | 3866689800 | ROY H HINMAN MD PA |
| Organization Legal Name | ROY H HINMAN MD PA |
| Physicians | 61 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Oveed Giovanni Nieto Camacho | Nurse Practitioner | Roy H Hinman Md Pa | 199s Us Hwy 17 A, East Palatka, FL 32131-6071 |
| Sierra C Heptner | Physician Assistant | Roy H Hinman Md Pa | 103 Anastasia Blvd, Saint Augustine, FL 32080-4503 |
| Eric Frances Thoms | Nurse Practitioner | Roy H Hinman Md Pa | 461 E Ten Mile Rd, Pensacola, FL 32534-9712 |
| Farida Kazvinova | General Practice | Roy H Hinman Md Pa | 11565 N Main St, Suite 228, Jacksonville, FL 32218-4088 |
| Christy Marie Chong | Nurse Practitioner | Roy H Hinman Md Pa | 106 N Old Kings Rd, Suite B, Ormond Beach, FL 32174-5177 |
| Magda Luisa Orsini-ortiz | General Practice | Roy H Hinman Md Pa | 1037w Us Hwy 90 130, Lake City, FL 32055-3740 |
| Gerardo Antonio Pedroza-sierra | General Practice | Roy H Hinman Md Pa | 1114 State Rd, Suite 300, Interlachen, FL 32148-4417 |
| Alan Ekanem | General Practice | Roy H Hinman Md Pa | 2460 Old Moultrie Rd, Suite 5, Saint Augustine, FL 32086-4198 |
| Radu A Segal | Family Medicine | Roy H Hinman Md Pa | 806 Nw16th Ave A, Gainesville, FL 32601 |
| Gary Enrique Morales-geraldino | General Practice | Roy H Hinman Md Pa | 729 Beville Rd, South Daytona, FL 32119-1823 |
| Street Address |
747 FAWN RIDGE DR SUITE 200 |
| City | ORANGE CITY |
| State | FL |
| Zip | 32763-8268 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Manuel A Crisanto | Internal Medicine | 747 Fawn Ridge Dr, Suite 200, Orange City, FL 32763-8352 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan Simpson Sullenberger | Optometry | Coastal Eye Associates Inc. | 2400 Veterans Memorial Pkwy, Orange City, FL 32763-1700 |
| Kevin Bruce Brantley | Optometry | Coastal Eye Associates Inc. | 2400 Veterans Memorial Pkwy, Orange City, FL 32763-1700 |
| Angela Marie Moodie | Nurse Practitioner | Home Docs | 341 W Minnesota Ave, Orange City, FL 32763-2205 |
| Paul Bond | Nurse Practitioner | Home Docs | 341 W Minnesota Ave, Orange City, FL 32763-2205 |
| Nakesha R Miller | Nurse Practitioner | Home Docs | 341 W Minnesota Ave, Orange City, FL 32763-2205 |
| Elaine L Lawless | Nurse Practitioner | Home Docs | 341 W Minnesota Ave, Orange City, FL 32763-2205 |
| Sherri A Ferguson | Nurse Practitioner | Home Docs | 341 W Minnesota Ave, Orange City, FL 32763-2205 |
| Mary Frances Riggins | Nurse Practitioner | Home Docs | 341 W Minnesota Ave, Orange City, FL 32763-2205 |
| Traci Lynn Zimmer | Nurse Practitioner | Primary Care of Orange City LLC | 135 E Minnesota Ave, Orange City, FL 32763-2312 |
| Raymond De Castro | Psychiatry | Primary Care of Orange City LLC | 135 E Minnesota Ave, Orange City, FL 32763-2312 |
| Find all physicians in zip 32763 | |||
| City | ORANGE CITY |
| Zip Code | 32763 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | ORANGE CITY + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Juan Santiago.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.