Provider Demographics
NPI:1578731097
Name:SANTAYANA, GEORGE GERALD (DC)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:GERALD
Last Name:SANTAYANA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102900 OVERSEAS
Mailing Address - Street 2:#8
Mailing Address - City:KEY LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33037
Mailing Address - Country:US
Mailing Address - Phone:305-451-0440
Mailing Address - Fax:305-451-4478
Practice Address - Street 1:102900 OVERSEAS
Practice Address - Street 2:SUITE #8
Practice Address - City:KEY LARGO
Practice Address - State:FL
Practice Address - Zip Code:33037
Practice Address - Country:US
Practice Address - Phone:305-451-0440
Practice Address - Fax:305-451-4478
Is Sole Proprietor?:No
Enumeration Date:2008-02-19
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH6113111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU00838Medicare UPIN