Individual
HECTOR FELIPE SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, BSN, PMD, PTA
Contact information
Practice address
14550 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32258-2460
(904) 271-6000
Mailing address
14550 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32258-2460
(904) 271-6000
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
PMD541591
FL
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN9569381
FL
2084A2900X
Neurocritical Care Physician
RN9569381
FL
2086S0102X
Surgical Critical Care Physician
RN9569381
FL
225200000X
Physical Therapy Assistant
PTA26238
FL
Other
Enumeration date
10/29/2015
Last updated
06/17/2025
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