SANTOS PEREZ CUSTODIO (DC) – Chiropractor, NPI 1336869569

SANTOS PEREZ CUSTODIO (DC) is a healthcare provider. based in Deltona, Florida. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. CH13727 (FL). The NPI Number for SANTOS PEREZ CUSTODIO (DC) is 1336869569

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
SANTOS PEREZ CUSTODIO (DC)
NPI
1336869569
Phone
(787) 669-7786
Address
3580 FERNANDA DR
Enumeration Date
29 August 2022
Last Update Date
29 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4073592757
Graduation Year
2020 (6 years ago)
PAC ID
0941711238
Group Practice PAC ID
7113178229
Professional Enrollment ID
I20250613002560
Address ID
FL327659744OV1791XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

2,484 CHIROPRACTIC in FL

Provider Addresses for SANTOS PEREZ CUSTODIO (DC)

  • 3580 FERNANDA DR

    DELTONA, FL 327387120

    Phone: (787) 669-7786

    Type: Mailing

  • 70 FOX RIDGE CT

    DEBARY, FL 327132752

    Phone: (386) 668-6321

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-13

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250613002560IChiropracticFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32738)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113178229View full group profile
NameSpecialtyState
C H I R O P R A C T I CFL
C H I R O P R A C T I CFL

Reviews

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Frequently asked questions

How is SANTOS PEREZ CUSTODIO (DC) identified in CMS data?
CMS-hosted NPPES data lists SANTOS PEREZ CUSTODIO (DC) with NPI 1336869569.
Is SANTOS PEREZ CUSTODIO (DC) listed as active for patients and plans?
The listing shows SANTOS PEREZ CUSTODIO (DC) as active in the NPI system.
What taxonomy line describes SANTOS PEREZ CUSTODIO (DC)?
For research purposes, treat SANTOS PEREZ CUSTODIO (DC) as Chiropractor in this dataset. Clinical services aligned with this taxonomy classification.
What area does SANTOS PEREZ CUSTODIO (DC) serve?
SANTOS PEREZ CUSTODIO (DC)'s listing highlights Deltona, Florida; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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