Individual
DR. CARLOS YAMIL SANTIAGO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 INDUSTRIAL PARK DR STE C, LAKELAND, FL 33801-7135
(863) 666-6100
(863) 248-4395
Mailing address
12171 SW 268TH ST, HOMESTEAD, FL 33032-8001
(305) 278-0200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15313
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15313
LICENSE
PR
Enumeration date
02/26/2007
Last updated
02/21/2021
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