Provider Demographics
NPI:1770521692
Name:FIGUEREO, SANTIAGO DE JESUS (MD)
Entity type:Individual
Prefix:DR
First Name:SANTIAGO
Middle Name:DE JESUS
Last Name:FIGUEREO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 402368
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-0368
Mailing Address - Country:US
Mailing Address - Phone:786-607-5911
Mailing Address - Fax:786-329-6483
Practice Address - Street 1:12002 SW 128TH CT
Practice Address - Street 2:STE 204
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-4643
Practice Address - Country:US
Practice Address - Phone:786-607-5911
Practice Address - Fax:786-329-6483
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2018-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD422097207T00000X
FLME94748207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL93552OtherBCBS
FL280830700Medicaid
FLP00867748OtherRAILROAD MEDICARE
FLAE951ZMedicare PIN
FL280830700Medicaid