Provider Demographics
NPI:1851608632
Name:SANTIAGO M. HOYOS, M.D., P.A.
Entity Type:Organization
Organization Name:SANTIAGO M. HOYOS, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SANTIAGO
Authorized Official - Middle Name:M
Authorized Official - Last Name:HOYOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD,PA
Authorized Official - Phone:813-996-4932
Mailing Address - Street 1:7040 LAND O LAKES BLVD
Mailing Address - Street 2:UNIT 101
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-3232
Mailing Address - Country:US
Mailing Address - Phone:813-996-4932
Mailing Address - Fax:813-996-9713
Practice Address - Street 1:7040 LAND O LAKES BLVD
Practice Address - Street 2:UNIT 101
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34638-3232
Practice Address - Country:US
Practice Address - Phone:813-996-4932
Practice Address - Fax:813-996-9713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-01
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL034089208000000X
FLME92676208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty