Carlos Manuel Santana Diaz

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11007844 Issued in FL

Practice address

8340 Stone Run CT
Tampa, FL 33615-1879

Phone

(813) 712-1726

Fax

(813) 925-4640

NPI assigned

Jul 6, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• American Care of North Florida, Inc

  • General Practice Physician
  • Jacksonville, FL
  • NPI 1053679787
  Medicare reassignment NPD
• American Care of North Florida, Inc

  • General Practice Physician
  • Winter Haven, FL
  • NPI 1689934648
  NPD
• American Care of North Florida, Inc

  • General Practice Physician
  • Tampa, FL
  • NPI 1962985713
  NPD

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1073130159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28944 LONG MEADOW LOOP",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335436472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 STONE RUN CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151879",
            "telephone_number": "813-712-1726",
            "fax_number": "813-925-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANA DIAZ",
        "first_name": "CARLOS",
        "middle_name": "MANUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-06",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11007844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Santacruz, APRN
• Jasmine Alexis Santalla
• John Peter Santamaria, M.D.
• Zuharmmy Santamaria, FNP-BC
• Jose Luis Santana Cartaya
• Malena Santana Garcia, APRN
• Marlie Santana Garcia, RBT
• Omar Santana Hernandez, MD
• Yaneidy Santana Melgarejo, MD
• Anay Santana Serrano

• Family Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.