Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104063023 Individual Practitioner Female Practitioner

Dr. Widalys Santiago Miranda , MD

General Practice • Pensacola, FL

Professional Overview & Biography Verified Profile Summary

Dr. Widalys Santiago Miranda, MD is a registered healthcare professional specializing in General Practice in Pensacola, FL. Practice services are available at 140 W GOVERNMENT ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

140 W Government St

Pensacola, FL 325025703

Telephone 9186163366

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Pensacola, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.0 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
40 Specialists

Practicing in Pensacola, FL (2490 Statewide)

Telehealth Adoption Rate
5.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ACN885

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License PR 17440

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Acn Medical License
ACN885 (FL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location May 02, 2019

Registered at 140 W GOVERNMENT ST, PENSACOLA, FL 325025703 (Tel: 9186163366)

📍
Updated Business Mailing Address May 02, 2019

Registered at PO BOX 4274, MILTON, FL 325724274 (Tel: 9186163366)

👤
Provider Name / Credentials Updated May 02, 2019

Recorded as WIDALYS SANTIAGO MIRANDA, M.D.

NPI Profile Active January 14, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location January 14, 2009

Registered at CARR 6622 KM1.9, MOROVIS, PR 00687 (Tel: 7878462315)

📍
Updated Business Mailing Address January 14, 2009

Registered at PO BOX 1118, MOROVIS, PR 006871118 (Tel: 7875056240)

👤
Provider Name / Credentials Updated January 14, 2009

Recorded as WIDALYS SANTIAGO, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2009

General Practice (License #17440 in PR)

🟢
Initial NPI Registration & Enumeration January 14, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104063023
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 14, 2009
Last Update: March 07, 2023
Sole Proprietor: No

Mailing Address

Po Box 4274

Milton, FL 325724274

Phone: 9186163366

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.