Active NPI
Santaclara Medical Services,Inc
- Clinic/Center
- Miami Beach, FL
National Provider Identifier
1063899219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- SANTACLARA MEDICAL SERVICES,INC
- Practice address
- 1956 Marseille Dr
Apt # 8
Miami Beach, FL 33141-3425 - Phone
- (786) 261-8872
- Fax
- (305) 631-1419
- NPI assigned
- Apr 27, 2015
- Last updated
- Apr 27, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ydania Santaclara
- Title
- Arnp-BC
- Phone
- (786) 261-8872
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | FL | Primary |
Addresses
Primary practice location
1956 Marseille Dr
Apt # 8
Miami Beach, FL 33141-3425
Mailing address
1956 Marseille Dr
Apt # 8
Miami Beach, FL 33141-3425
Phone (786) 261-8872
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IB153A | Other | FL | MEDICARE PTAN |
| 013478200 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- North Miami Beach, FL
- NPI 1346670494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1430092800000",
"number": "1063899219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1956 MARSEILLE DR",
"address_2": "APT # 8",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331413425",
"telephone_number": "786-261-8872",
"fax_number": "305-631-1419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1956 MARSEILLE DR",
"address_2": "APT # 8",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331413425",
"telephone_number": "786-261-8872",
"fax_number": "305-631-1419"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANTACLARA MEDICAL SERVICES,INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-27",
"last_updated": "2015-04-27",
"status": "A",
"authorized_official_last_name": "SANTACLARA",
"authorized_official_first_name": "YDANIA",
"authorized_official_title_or_position": "ARNP-BC",
"authorized_official_telephone_number": "786-261-8872"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "IB153A",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "013478200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.