NPI 1619940418

Santiago M Leyte Vidal, MD

Practitioner Internal Medicine Physician Cocoa Beach, FL

Practice location

Address: 465 Minutemen Cswy, Cocoa Beach, FL 32931-2881
Phone: (321) 784-0023
Fax: (321) 784-1689

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 47809 (FL)

Other Internal Medicine providers in Florida →

Registry record

NPI: 1619940418
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Feb 2006
Record last updated: 17 Nov 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.