Individual
DR. MARIO A SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
737 S SEMORAN BLVD, ORLANDO, FL 32807-3121
(321) 247-4960
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(305) 500-2000
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
14652
PR
208D00000X
General Practice Physician
Primary
ACN648
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101875500
—
FL
01
—
N0716
MEDICARE
FL
Enumeration date
03/31/2006
Last updated
02/17/2026
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