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DR. CARLOS YAMIL SANTIAGO GONZALEZ MD
NPI 1700912417
Internal Medicine in Lakeland, FL

Active since February 26, 2007PECOS Enrolled
2600 INDUSTRIAL PARK DR STE C, LAKELAND, FL 33801(863) 666-6100(863) 248-4395 Get Directions Write a Review

NPPES record last updated: February 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 21, 2021, Apr 19, 2018 (2 updates tracked since 2018).

About Dr. Carlos Yamil Santiago Gonzalez Md NPPES

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

DR. CARLOS YAMIL SANTIAGO GONZALEZ MD (NPI 1700912417) is an individual internal medicine provider in Lakeland, Florida, licensed in Puerto Rico (15313) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700912417
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. CARLOS YAMIL SANTIAGO GONZALEZCredential: MD
Location Address2600 INDUSTRIAL PARK DR STE CLakeland, FL 33801-7135
Mailing Address12171 Sw 268th StHomestead, FL 33032-8001 · (305) 278-0200
Phone(863) 666-6100
Fax(863) 248-4395
Sole ProprietorYes
Enumeration DateFebruary 26, 2007
Last NPPES UpdateFebruary 21, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2021
✔ NPI 1700912417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PR · 15313
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2600 INDUSTRIAL PARK DR STE C, Lakeland, FL 33801
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Other Identifiers 1

Other15313PR · License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carlos Yamil Santiago Gonzalez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Carlos Santiago Gonzalez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mennonite General Hospital Inc
Specialist
CALLE JOSE C VAZQUEZ, BO CAONILLAS
Aibonito, PR 00705
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 205 clinicians in this Medicare group
NPI 1043347768 (787) 535-1001

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Carlos Santiago Gonzalez's NPI number?

The NPI number for Carlos Santiago Gonzalez is 1700912417. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Carlos Santiago Gonzalez located?

Carlos Santiago Gonzalez practices at 2600 Industrial Park Dr Ste C, Lakeland, FL 33801. The listed phone number is (863) 666-6100.

What is Carlos Santiago Gonzalez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Carlos Santiago Gonzalez enrolled in Medicare?

Yes. Carlos Santiago Gonzalez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carlos Santiago Gonzalez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Santiago Gonzalez reassigns Medicare benefits to Mennonite General Hospital Inc (Aibonito, PR). 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 Carlos Santiago Gonzalez'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 Carlos Santiago Gonzalez was last updated on February 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.