MEDICARE: ROBYN SANTIAGO FNP-BC

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
1	363LF0000X	Family Nurse Practitioner	ARNP9181310	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1992143465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBYN SANTIAGO FNP-BC

Provider Business Mailing Address
First Line	:	7630 LADSON TER
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-7726
Country	:	US
Telephone Number	:	954-336-8682
Fax Number	:

Provider Business Practice Location Address
First Line	:	7730 W BOYNTON BEACH BLVD STE 3
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-6155
Country	:	US
Telephone Number	:	561-877-1800
Fax Number	:	866-950-0144

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2013
Last Update Date	:	01/31/2022

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