LAUREANO ANTONIO SANTIAGO
NPI 1043896368
Physician Assistant - Medical in Jacksonville, FL

Active since March 18, 2021PECOS Enrolled
2080 CHILD ST, JACKSONVILLE, FL 32214(904) 542-7300 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Physician Assistant
  • Medical
  • PECOS Enrolled

About LAUREANO SANTIAGO

This page provides the complete NPI Profile along with additional information for Laureano Santiago, a primary care provider established in Jacksonville, Florida with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1043896368 assigned on March 2021. The practitioner's primary taxonomy code is 363AM0700X with license number PA9116787 (FL). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1043896368 Verify this NPI
Provider Name
LAUREANO ANTONIO SANTIAGO
Gender
Male
Entity Type
Individual
Location Address
2080 CHILD ST JACKSONVILLE, FL 32214
Location Phone
(904) 542-7300
Mailing Address
2080 CHILD ST JACKSONVILLE, FL 32214
Mailing Phone
(904) 542-7300
Is Sole Proprietor?
No
Enumeration Date
03-18-2021
Last Update Date
09-19-2023
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A primary care provider (PCP) like Laureano Santiago sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA9116787
License State
FL

Medicare Participation & PECOS Enrollment Status

Laureano Santiago is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for LAUREANO ANTONIO SANTIAGO

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dentist (Pediatric Dentistry)
2080 CHILD ST, NAVAL HOSPITAL JACKSONVILLE
JACKSONVILLE, FL 32214
Orthopaedic Surgery
2080 CHILD ST, NAVAL HOSPITAL JACKSONVILLE--ORTHO DEPT
JACKSONVILLE, FL 32214
Pharmacist
2080 CHILD ST, NAVAL HOSPITAL JACKSONVILLE PHARMACY DEPT
JACKSONVILLE, FL 32214
Psychiatry & Neurology (Psychiatry)
2080 CHILD ST, U. S. NAVAL HOSPITAL JACKSONVILLE NAS JAX
JACKSONVILLE, FL 32214
Emergency Medicine
2080 CHILD ST
JACKSONVILLE, FL 32214
Nurse Practitioner (Family)
2080 CHILD ST
JACKSONVILLE, FL 32214
Psychiatry & Neurology (Neurology)
2080 CHILD ST
JACKSONVILLE, FL 32214
Internal Medicine
2080 CHILD ST
JACKSONVILLE, FL 32214
Family Medicine
2080 CHILD ST
JACKSONVILLE, FL 32214
Family Medicine
2080 CHILD ST
JACKSONVILLE, FL 32214
Radiology (Diagnostic Radiology)
2080 CHILD ST
JACKSONVILLE, FL 32214
Psychologist (Clinical)
2080 CHILD ST
JACKSONVILLE, FL 32214
Dentist (General Practice)
2080 CHILD ST
JACKSONVILLE, FL 32214
Optometrist
2080 CHILD ST
JACKSONVILLE, FL 32214
Obstetrics & Gynecology
2080 CHILD ST
JACKSONVILLE, FL 32214
Optometrist
2080 CHILD ST
JACKSONVILLE, FL 32214
Dentist (General Practice)
2080 CHILD ST
JACKSONVILLE, FL 32214
Surgery
2080 CHILD ST
JACKSONVILLE, FL 32214
Physician Assistant (Medical)
2080 CHILD ST
JACKSONVILLE, FL 32214
Dietitian, Registered
2080 CHILD ST
JACKSONVILLE, FL 32214

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043896368, enumerated as an "individual" on March 18, 2021.

The provider is located at 2080 CHILD ST JACKSONVILLE, FL 32214 and the phone number is (904) 542-7300.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.