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SANTURCE MEDICAL CENTER LLC
NPI 1649725029
General Practice in Brandon, FL

Active since August 16, 2016CLIA 10D2121793 · Waiver
500 VONDERBURG DR STE 305, BRANDON, FL 33511(813) 651-0005(813) 902-7234 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jul 31, 2017, Jul 29, 2017 and 2 more (5 updates tracked since 2016).

About Santurce Medical Center Llc NPPES

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

SANTURCE MEDICAL CENTER LLC (NPI 1649725029) is a healthcare organization registered as a general practice in Brandon, Florida and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through November 14, 2026 and lists Orlando E Mieles, Md/ceo, as its authorized official.

NPPES Registry Identity

NPI1649725029
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSANTURCE MEDICAL CENTER LLC
Location Address500 VONDERBURG DR STE 305Brandon, FL 33511-5976
Mailing Address500 Vonderburg Dr, Suite 305Brandon, FL 33511-5964 · (813) 624-9399
Phone(813) 651-0005
Fax(813) 902-7234
Organization SubpartNo
Authorized OfficialOrlando E MielesMd/ceo · (813) 651-0005
Enumeration DateAugust 16, 2016
Last NPPES UpdateJuly 21, 20225 updates tracked since enumeration
✔ NPI 1649725029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
500 VONDERBURG DR STE 305, Brandon, FL 33511
Open in Google Maps ↗

Other Identifiers 1

Medicaid1700149143FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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 10D2121793

Santurce Medical Center LLC · Brandon, FL
Active · expires Nov 14, 2026
CLIA Number10D2121793
Laboratory TypePatient Care
Certificate Effective DateNovember 15, 2024
Certificate Expiration DateNovember 14, 2026
Laboratory DirectorOrlando E. Mieles
Laboratory Phone(813) 624-9399
Laboratory LocationSanturce Medical Center LLC500 Vonderburg Dr Ste 305E, Brandon, FL 33511
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

ORLANDO ENRIQUE MIELES MD
General Practice
500 VONDERBURG DR STE 305
BRANDON, FL 33511
Hillsborough County (813) 651-0005

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 Santurce Medical Center LLC's NPI number?

The NPI number for Santurce Medical Center LLC is 1649725029. It was assigned to this organization in the NPPES registry on August 16, 2016.

Where is Santurce Medical Center LLC located?

Santurce Medical Center LLC is located at 500 Vonderburg Dr Ste 305, Brandon, FL 33511. The listed phone number is (813) 651-0005.

What is Santurce Medical Center LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Santurce Medical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2121793) is associated with this NPI, valid through November 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Santurce Medical Center LLC accept?

Health plans from Molina Healthcare list Santurce Medical Center LLC 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 Santurce Medical Center LLC was last updated on July 21, 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.