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GREGORIO S SANTOS MD PA
NPI 1306156104
Clinic/Center - Primary Care in Kenneth City, FL

Active since October 14, 2010CLIA 10D0966663 · Waiver
6125 54TH AVE N STE B, KENNETH CITY, FL 33709(727) 521-9467(727) 521-0416 Get Directions Write a Review

NPPES record last updated: November 28, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gregorio S Santos Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREGORIO S SANTOS MD PA (NPI 1306156104) is a healthcare organization registered as a primary care in Kenneth City, Florida and active in the NPI registry since October 2010. The organization holds a CLIA Waiver certificate valid through October 24, 2027 and lists Gregorio S Santos, Owner, as its authorized official.

NPPES Registry Identity

NPI1306156104
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameGREGORIO S SANTOS MD PA
Location Address6125 54TH AVE N STE BKenneth City, FL 33709-1830
Mailing Address6125 54th Ave N Ste BKenneth City, FL 33709-1830 · (727) 521-9467 · Fax (727) 521-0416
Phone(727) 521-9467
Fax(727) 521-0416
Organization SubpartNo
Authorized OfficialGregorio S SantosOwner · (727) 521-9467
Enumeration DateOctober 14, 2010
Last NPPES UpdateNovember 28, 2012
✔ NPI 1306156104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in FL · ME0072417
6125 54TH AVE N STE B, Kenneth City, FL 33709
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN21062FL
Medicare UPING63232FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0966663

Gregorio Santos MD PA · Kenneth City, FL
Active · expires Oct 24, 2027
CLIA Number10D0966663
Laboratory TypePhysician Office
Certificate Effective DateOctober 25, 2025
Certificate Expiration DateOctober 24, 2027
Laboratory DirectorGregorio S. Santos
Laboratory Phone(727) 521-9467
Laboratory LocationGregorio Santos MD PA6125 54th Ave N Ste B, Kenneth City, FL 33709
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gregorio S Santos MD PA's NPI number?

The NPI number for Gregorio S Santos MD PA is 1306156104. It was assigned to this organization in the NPPES registry on October 14, 2010.

Where is Gregorio S Santos MD PA located?

Gregorio S Santos MD PA is located at 6125 54th Ave N Ste B, Kenneth City, FL 33709. The listed phone number is (727) 521-9467.

What is Gregorio S Santos MD PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Gregorio S Santos MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0966663) is associated with this NPI, valid through October 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gregorio S Santos MD PA accept?

Health plans from AvMed list Gregorio S Santos MD PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gregorio S Santos MD PA was last updated on November 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.