Agustin Vega Santiago (NPI# 1124322193, PAC ID# 1759668528) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1124322193 |
| PAC ID by PECOS | 1759668528 |
| Professional Enrollment ID | I20190201002413 |
| Full Name | Agustin Vega Santiago |
| Organization Legal Name | RIDGEWOOD PHYSICIAN SERVICES, LLC |
| Address |
40100 Hwy 27 Davenport FL 33837-5906 |
| Phone Number | 8634224971 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0446594105 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100137 | HEART OF FLORIDA REGIONAL MEDICAL CENTER |
| 100007 | FLORIDA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 40100 Hwy 27, Davenport, FL 33837-5906 | 8634224971 | RIDGEWOOD PHYSICIAN SERVICES, LLC |
| 525 Technology Park, Suite 109, Lake Mary, FL 32746-7107 | 4076472346 | CENTRAL FLORIDA INPATIENT MEDICINE PA |
| Organization Legal Name | RIDGEWOOD PHYSICIAN SERVICES, LLC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arthur Hall | Family Medicine | Ridgewood Physician Services, LLC | 40100 Hwy 27, Davenport, FL 33837-5906 |
| Alla Batikov | Family Medicine | Ridgewood Physician Services, LLC | 40100 Hwy 27, Davenport, FL 33837-5906 |
| James L Willis | Emergency Medicine | Ridgewood Physician Services, LLC | 40100 Hwy 27, Davenport, FL 33837-5906 |
| Eyad Rawhi El Far | Family Medicine | Ridgewood Physician Services, LLC | 40100 Hwy 27, Davenport, FL 33837-5906 |
| Tarun Tewatia | Internal Medicine | Ridgewood Physician Services, LLC | 40100 Hwy 27, Davenport, FL 33837-5906 |
| Desi Alexandra Lopez-olmeda | Nurse Practitioner | Ridgewood Physician Services, LLC | 40100 Hwy 27, Davenport, FL 33837-5906 |
| Rhashelia Shantini Crawford | Internal Medicine | Ridgewood Physician Services, LLC | 40100 Hwy 27, Davenport, FL 33837-5906 |
| Steven V Turpin | Internal Medicine | Ridgewood Physician Services, LLC | 40100 Hwy 27, Davenport, FL 33837-5906 |
| Usman Tanveer Malik | Internal Medicine | Ridgewood Physician Services, LLC | 40100 Hwy 27, Davenport, FL 33837-5906 |
| Mohammed Munim | Internal Medicine | Ridgewood Physician Services, LLC | 40100 Hwy 27, Davenport, FL 33837-5906 |
| Street Address |
40100 HWY 27 |
| City | DAVENPORT |
| State | FL |
| Zip | 33837-5906 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fernando L Lomba | Pathology | Accurate Pathology Services Md Pl | 40100 Hwy 27, Davenport, FL 33837-5906 |
| Michael Boyer | Emergency Medicine | Ridgewood Emergency Group, LLC | 40100 Hwy 27, Davenport, FL 33837-5906 |
| Arthur Hall | Family Medicine | Ridgewood Physician Services, LLC | 40100 Hwy 27, Davenport, FL 33837-5906 |
| Alla Batikov | Family Medicine | Ridgewood Physician Services, LLC | 40100 Hwy 27, Davenport, FL 33837-5906 |
| James L Willis | Emergency Medicine | Ridgewood Physician Services, LLC | 40100 Hwy 27, Davenport, FL 33837-5906 |
| Edgar J Morales | Pathology | Accurate Pathology Services Md Pl | 40100 Hwy 27, Davenport, FL 33837-5906 |
| Ronald Berman | Emergency Medicine | Ridgewood Emergency Group, LLC | 40100 Hwy 27, Davenport, FL 33837-5906 |
| Eyad Rawhi El Far | Family Medicine | Ridgewood Physician Services, LLC | 40100 Hwy 27, Davenport, FL 33837-5906 |
| Tarun Tewatia | Internal Medicine | Ridgewood Physician Services, LLC | 40100 Hwy 27, Davenport, FL 33837-5906 |
| David Molina Rios | Pathology | Accurate Pathology Services Md Pl | 40100 Hwy 27, Davenport, FL 33837-5906 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Lustig | Urology | Central Florida Cancer Institute Pa | 40107 Hwy 27, Davenport, FL 33837 |
| Marilyn Frances Velez | Nurse Practitioner | Pulmonary Disease Specialists, Pa | 40124 Us Hwy 27, Suite 202, Davenport, FL 33837 |
| Maria N Concepcion | Family Medicine | Maria Nina Concepcion Md Pa | 2302 N Blvd, Suite D, Davenport, FL 33837 |
| Marygold Fernandez | Family Medicine | Maria Nina Concepcion Md Pa | 2302 N Blvd, Suite D, Davenport, FL 33837 |
| Alfredo Lisboa Salcedo | Nurse Practitioner | Pulmonary Disease Specialists, Pa | 40124 Us Hwy 27, Suite 202, Davenport, FL 33837 |
| Vladimir B Mouraviev | Urology | Central Florida Cancer Institute | 40107 Hwy 27, Davenport, FL 33837 |
| Reginald A Allen | Urology | Central Florida Cancer Institute | 40107 Hwy 27, Davenport, FL 33837 |
| Kerry L Gruber Vella | Clinical Psychologist | 206 W Orange St, Davenport, FL 33837-3118 | |
| Steven A Sylvia | Clinical Social Worker | 206 W Orange St, Davenport, FL 33837-3118 | |
| Karlene E Sinclair | General Surgery | 131 Webb Dr, Suite B, Davenport, FL 33837-3921 | |
| Find all physicians in zip 33837 | |||
| City | DAVENPORT |
| Zip Code | 33837 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | DAVENPORT + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Agustin Vega Santiago.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.