Individual
DR. JUAN SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1668 S VOLUSIA AVE, ORANGE CITY, FL 32763-7335
(386) 668-9831
Mailing address
2460 OLD MOULTRIE RD STE 1, ST AUGUSTINE, FL 32086-4198
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
9018
PR
208D00000X
General Practice Physician
Primary
ACN519
FL
Other
Enumeration date
02/13/2006
Last updated
02/25/2026
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