SANTIAGO LOPEZ (NPI# 1740530542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740530542 |
| Entity Type | Individual |
| Full Name | SANTIAGO LOPEZ |
| Credential | DC |
| Practice Address |
170 Hastead Dr Davenport FL 33897 |
| Practice Telephone | 4076165162 |
| Mailing Telephone | 4076165162 |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH10719 | FL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | TAXONOMY | 111N00000X | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104489897 | Santiago Lopez Jr. | Student in an Organized Health Care Education/Training Program | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2019-04-17 |
| 1548616360 | Santiago Lopez | Dentist | 750 E 25th St, Hialeah, FL 33013-3817 | 2016-05-11 |
| 1891159711 | Santiago Lopez | Student in an Organized Health Care Education/Training Program | 100 Madison Ave, Morristown, NJ 07960-6136 | 2016-04-06 |
| 1679992952 | Santiago Lopez | Emergency Medicine | 1504 Taub Loop, Emergency Medicine Education Office, Houston, TX 77030-1608 | 2014-04-15 |
| 1548609126 | Santiago Lopez | Family Medicine | 353 E 17th St Fl 2, New York, NY 10003-3821 | 2013-06-17 |
| 1922351246 | Santiago Manuel Cayetano Lopez | Pediatrics | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2012-10-24 |
| Street Address |
170 HASTEAD DR |
| City | DAVENPORT |
| State | FL |
| Zip Code | 33897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679182703 | Isis Orozco | Case Management | 9031 Pelican Cove, Davenport, FL 33897 | 2020-07-24 |
| 1669001178 | Jean Maxcene Decarde | Clinic/Center | 548 Solana Circle, Davenport, FL 33897 | 2020-04-06 |
| 1295298818 | Team Reid Solutions, Inc. | Clinic/Center | 843 Kettering Road, Davenport, FL 33897 | 2019-04-10 |
| 1013474063 | Surgeons of Central Florida LLC | General Practice | 755 Jay Bee Avenue, Davenport, FL 33897 | 2019-02-26 |
| 1033687108 | Detsy Z Negron | Registered Nurse | 121 Champions Vue Loop, Apt 101, Davenport, FL 33897 | 2018-11-07 |
| 1487122917 | Angela Burgos | Case Manager/Care Coordinator | 457 La Mirage Street, Davenport, FL 33897 | 2018-11-02 |
| 1790198323 | Compassionate Home Health Care LLC | Non-emergency Medical Transport (VAN) | 248 Plumoso Loop, Davenport, FL 33897 | 2014-06-11 |
| 1942471685 | Carolina Gemma Leuthner | Speech-Language Pathologist | 736 Rodchester Loop, Davenport, FL 33897 | 2008-03-21 |
| 1013926377 | Omayra Torres | Dentist | 7700 Lake Wilson Road, Davenport, FL 33897 | 2006-08-05 |
| 1003152422 | Ellamay Artis | Case Manager/Care Coordinator | 5201 Raymond Street, Bldg 510, Orlando, FL 33897 | 2012-12-13 |
| Find all providers in zip 33897 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316552052 | Shannon Kathleen Christiansen | Chiropractor | 2108 Vine St, Davenport, IA 52804-2056 | 2020-09-10 |
| 1821609918 | Kira Baca | Chiropractor | 3231 Schuetzen Ln Apt 3, Davenport, IA 52804-4344 | 2020-08-12 |
| 1437776663 | Manuel Alejandro Soto-garcia | Chiropractor | 4824 Grandview Pkwy, Davenport, FL 33837-2301 | 2020-07-03 |
| 1457826497 | Dalton Daniel Doudna | Chiropractor | 3536 Jersey Ridge Rd, Davenport, IA 52807-2223 | 2018-10-05 |
| 1477035442 | Jacqueline M Gulley | Chiropractor | 2010 E 38th St Ste 201b, Davenport, IA 52807-1179 | 2018-09-05 |
| 1528573102 | Torry Dean Slawson | Chiropractor | 3904 Lillie Ave Ste 1, Davenport, IA 52806-4422 | 2017-12-05 |
| 1134631583 | Randy Pitts | Chiropractor | 100 Vista Pass, Davenport, FL 33897-8381 | 2017-10-25 |
| 1649795485 | Taylor Overmohle | Chiropractor | 13609 110th Ave, Davenport, IA 52804-9033 | 2017-08-12 |
| 1598298812 | Crystal Drzewiecki | Chiropractor | 1954 Walling Ct, Davenport, IA 52803-3077 | 2017-04-04 |
| 1770027658 | Inner Health Systems P.C. | Chiropractor | 2406 E 53rd St Ste 2, Davenport, IA 52807-3827 | 2016-12-12 |
| Find all providers in DAVENPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.