SANTOS PEREZ CUSTODIO DC
NPI 1336869569
Chiropractor in Debary, FL
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.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Santos Perez Custodio Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Santos Perez Custodio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oviedo, FL 32765
- Reassigned Medicare billing, Florida enrollment
- 6 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 enrollment system.
Which organization bills Medicare for Santos Perez Custodio's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Santos Perez Custodio reassigns Medicare benefits to Oviedo Medical Clinic, LLC (Oviedo, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Santos Perez Custodio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 4 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.
# Santos Perez Custodio, DC · NPI 1336869569
Chiropractor provider in Debary, Florida. Individual provider, active in the CMS NPPES registry since August 29, 2022.
## Identity
- **NPI:** 1336869569 (Entity type: Individual)
- **Enumerated:** August 29, 2022
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** CH13727 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 70 FOX RIDGE CT, Debary, FL 32713-2752
- **Phone:** (386) 668-6321
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Oviedo Medical Clinic, LLC (NPI 1841536703, Oviedo, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 29, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1336869569) · Data from the CMS NPPES public registry.