Individual ProviderGladimar Santiago CartagenaFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address9309 N Florida Ave Ste 111, Tampa, FL 33612-7237(813) 444-9823(787) 587-7077PECOS EnrollmentBased on the most recent information from CMS, provider Gladimar Santiago Cartagena is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1376844514Provider TypeIndividualFull NameSantiago Cartagena, GladimarTitleDr.CredentialM.D.GenderFemaleSole ProprietorYesEnumeration Date11/4/2010Last Updated7/3/2024Contact InformationPractice LocationPractice Address9309 N Florida Ave Ste 111, Tampa, FL 33612-7237Phone(813) 444-9823Fax(813) 774-8881Mailing LocationMailing Address19189 Blue Pond Dr, Lutz, FL 33558-5609Phone(787) 587-7077FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseME145879FloridaCode208D00000XDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicense18070Puerto Rico