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NPI Code Detail

MEDICARE: DR. JOHANA SANTIAGO-TORRES MD

MEDICARE:  DR. JOHANA  SANTIAGO-TORRES  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician16444PR
2208D00000XGeneral Practice PhysicianACN1455FL

General Provider Information

NPI Number : 1639270549
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHANA SANTIAGO-TORRES MD
Provider Business Mailing Address
First Line : 425 W COLONIAL DR STE 303
Second Line :
City : ORLANDO
State : FL
Zip : 32804-6863
Country : US
Telephone Number : 321-332-6947
Fax Number : 407-286-4515
Provider Business Practice Location Address
First Line : 105 S DIXIE DR
Second Line :
City : HAINES CITY
State : FL
Zip : 33844-2844
Country : US
Telephone Number : 863-421-1190
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2006
Last Update Date : 02/04/2025

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Directions to “ DR. JOHANA SANTIAGO-TORRES MD” Practice Location

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