Individual provider Active NPI

Danae Santos

  • Family Nurse Practitioner
  • Doral, FL
National Provider Identifier
1063127066
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11019179 Issued in FL
Practice address
9930 NW 26TH St
Doral, FL 33172-1347
Phone
(305) 721-9525
NPI assigned
Jan 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11019179 FL Primary

Addresses

Primary practice location

9930 NW 26TH St
Doral, FL 33172-1347

Mailing address

665 NW 85TH PL Apt 201
Miami, FL 33126-3854
Phone (786) 267-2928

Other identifiers 1

IdentifierTypeStateIssuer
11019179OtherFLAPRN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230601000237 FL Practitioner - Nurse Practitioner 5395102693 Reassigns benefits to 2 organizations
Practice locations: Miami, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mental Autonomy, Inc.Group PAC ID 1355727256, 2 clinicians

Practice addresses (Care Compare)

5220 S University Dr
Suite 204C
Davie, FL 33328-5308
Phone (954) 906-5947

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11019179FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Autonomy Inc CurrentSince Jul 11, 2025 Accepting new patients
Pro Nursing Solutions Inc CurrentSince Jan 22, 2023 Accepting new patients
Mental Autonomy, Inc. CurrentSince Jul 11, 2025 Accepting new patients
Kid Care Respiratory Services Corp PastSince Jan 22, 2023 Accepting new patients
La Familia Medical Center Inc Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1063127066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 NW 85TH PL APT 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263854",
            "telephone_number": "786-267-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9930 NW 26TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721347",
            "telephone_number": "305-721-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "DANAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11019179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "11019179",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.