MEDICARE: DR. LENIEL SANTANA 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	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	28455R	PR
2	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	35.149662	OH
3	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	ME119053	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	:	1912274481
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LENIEL SANTANA M.D.

Provider Business Mailing Address
First Line	:	11716 JACKSON LANDING PL
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33624-4502
Country	:	US
Telephone Number	:	787-504-8275
Fax Number	:

Provider Business Practice Location Address
First Line	:	HOSPITAL EPISCOPAL SAN LUCAS
Second Line	:	AVE TITO CASTRO 917
City	:	PONCE
State	:	PR
Zip	:	00733-6810
Country	:	US
Telephone Number	:	787-844-2080
Fax Number	:

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

Provider Enumeration Date	:	11/28/2011
Last Update Date	:	10/22/2025

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