Individual
DR. SANTIAGO HAMLET PENA BAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2776 CLEVELAND AVE, FORT MYERS, FL 33901-5855
(239) 343-2052
(239) 343-5348
Mailing address
P.O. BOX 2147, FORT MEYERS, FL 33902-2147
(239) 343-2052
(239) 343-5348
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME116158
FL
208M00000X
Hospitalist Physician
Primary
ME116158
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102075500
—
FL
Enumeration date
01/26/2013
Last updated
03/29/2021
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