Dr. Carlos Yamil Santiago Gonzalez, MD
Internal Medicine in Lakeland, FL. Individual provider (NPI-1).
NPI number1700912417
StatusActive
Last updated in NPPESFeb 21, 2021
Details
- NPI
- 1700912417
- Entity type
- Individual (NPI-1)
- Name
- Dr. Carlos Yamil Santiago Gonzalez
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 26, 2007
- Certification date
- Feb 21, 2021
- Last updated
- Feb 21, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 15313 | PR | Yes |
Practice location
2600 Industrial Park Dr Ste CLakeland, FL 33801-7135
Phone 863-666-6100 · Fax 863-248-4395
Mailing address
12171 Sw 268th StHomestead, FL 33032-8001
Phone 305-278-0200
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