MEDICARE: DR. MARIA B SANTOS M.D.

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	208100000X	Physical Medicine & Rehabilitation Physician	ME0081152	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	51617	OTHER	FL	BLUE CROSS BLUE SHEILD FL
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497758221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIA B SANTOS M.D.

Provider Business Mailing Address
First Line	:	1503 BUENOS AIRES BLVD STE 180
Second Line	:
City	:	THE VILLAGES
State	:	FL
Zip	:	32159-6822
Country	:	US
Telephone Number	:	352-323-1482
Fax Number	:	352-259-0748

Provider Business Practice Location Address
First Line	:	1503 BUENOS AIRES BLVD STE 180
Second Line	:
City	:	THE VILLAGES
State	:	FL
Zip	:	32159
Country	:	US
Telephone Number	:	352-323-1482
Fax Number	:	352-259-0748

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

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	05/25/2018

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