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NPI Code Detail

MEDICARE: DR. GLORIA P SANTAYANA DO

MEDICARE: DR. GLORIA P SANTAYANA DO
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
1207Q00000XFamily Medicine PhysicianOS15901FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710249412
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GLORIA P SANTAYANA DO
Provider Business Mailing Address
First Line : 38503 CENTENNIAL RD
Second Line :
City : DADE CITY
State : FL
Zip : 33525-1654
Country : US
Telephone Number : 813-346-3500
Fax Number : 813-346-3591
Provider Business Practice Location Address
First Line : 38503 CENTENNIAL RD
Second Line :
City : DADE CITY
State : FL
Zip : 33525-1654
Country : US
Telephone Number : 813-346-3500
Fax Number : 813-346-3591
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2012
Last Update Date : 04/17/2026

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Directions to “ DR. GLORIA P SANTAYANA DO” Practice Location

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