SANTA ROSA DE LIMA MEDICAL PA
NPI 1679538664
Specialist in Orange City, FL

Q: What is Santa Rosa De Lima Medical PA's NPI number?

The NPI number for Santa Rosa De Lima Medical PA is 1679538664. It was assigned to this organization in the NPPES registry on April 20, 2006.

Q: What is Santa Rosa De Lima Medical PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since April 20, 2006

1055 SAXON BLVD, ORANGE CITY, FL 32763(407) 268-5415 Get Directions Write a Review

NPPES record last updated: November 27, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Santa Rosa De Lima Medical Pa NPPES

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

SANTA ROSA DE LIMA MEDICAL PA (NPI 1679538664) is a healthcare organization registered as a specialist in Orange City, Florida and active in the NPI registry since April 2006. The organization lists Santiago W. Calderon, President, as its authorized official.

NPPES Registry Identity

NPI1679538664

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameSANTA ROSA DE LIMA MEDICAL PA

Location Address1055 SAXON BLVDOrange City, FL 32763-8468

Mailing Address4916 San Marino Cir, C/o S. Calderon, MdLake Mary, FL 32746-2608 · (407) 268-5415

Phone(407) 268-5415

Organization SubpartNo

Authorized OfficialSantiago W. CalderonPresident · (407) 268-5415

Enumeration DateApril 20, 2006

Last NPPES UpdateNovember 27, 2008

✔ NPI 1679538664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in FL · ME70874

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1055 SAXON BLVD, Orange City, FL 32763

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Other Identifiers 8

Other94709FL · Bc/bs

Medicaid263393100FL

OtherCH6285FL · Rr Medicare

Other000830802FL · Humana

Other13935FL · Fl Memorial Health Networ

Medicare PINK2178FL

Medicare UPINF74830FL

Other150170FL · Healthease

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

PEDRO N. YEPES-HOYOS M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

1055 SAXON BLVD, DEPT. OF PATHOLOGY
ORANGE CITY, FL 32763

Volusia County (386) 851-5000

MRS. TASHA NAOMI BRICKHOUSE RDN, LD/N

Dietitian, Registered