| Doctor Name: | DR. HUMBERTO SANTIAGO |
| NPI Number: | 1477811628 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | HSE20761 |
| Business Practice Address: | 3700 34th St Suite 200 Orlando, FL - 328056601 |
| Business Phone Number: | 4078417378 |
| Business Fax Number: | 4078417377 |
| Mailing Address: | 3700 34th St, Suite 200 ORLANDO |
| State: | FL |
| Postal Code: | 328056601 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/25/2012 |
| NPI Last Update Date: | 08/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | HSE20761 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |