SANTOS PEREZ CUSTODIO DC
NPI 1336869569
Chiropractor in Debary, FL

Active since August 29, 2022Accepts Medicare Assignment
70 FOX RIDGE CT, DEBARY, FL 32713(386) 668-6321 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Santos Perez Custodio Dc NPPES

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

SANTOS PEREZ CUSTODIO DC (NPI 1336869569) is an individual chiropractor in Debary, Florida, licensed in Florida (CH13727) and active in the NPI registry since August 2022. He is a graduate of Other (2020).

NPPES Registry Identity

NPI1336869569
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameSANTOS PEREZ CUSTODIOCredential: DC
Location Address70 FOX RIDGE CTDebary, FL 32713-2752
Mailing Address3580 Fernanda DrDeltona, FL 32738-7120 · (787) 669-7786
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 29, 2022
NPPES CertifiedAugust 29, 2022
NPI 1336869569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in FL · CH13727
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
70 FOX RIDGE CT, Debary, FL 32713

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Santos Perez Custodio Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941711238
PECOS Enrollment IDI20250613002560

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
70 FOX RIDGE CT, STE B
DEBARY, FL 32713
Clinic/Center (Primary Care)
70 FOX RIDGE CT, SUITE A
DEBARY, FL 32713
Specialist
70 FOX RIDGE CT
DEBARY, FL 32713
Family Medicine
70 FOX RIDGE CT, SUITE B
DEBARY, FL 32713

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 Santos Perez Custodio's NPI number?

The NPI number for Santos Perez Custodio is 1336869569. It was assigned to this individual provider in the NPPES registry on August 29, 2022.

Where is Santos Perez Custodio located?

Santos Perez Custodio practices at 70 Fox Ridge Ct, Debary, FL 32713. The listed phone number is (386) 668-6321.

What is Santos Perez Custodio's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Santos Perez Custodio enrolled in Medicare?

Yes. Santos Perez Custodio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Santos Perez Custodio was last updated on August 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.