Active NPI
Stephanie San Jorge
- Acute Care Nurse Practitioner
- Miramar, FL
National Provider Identifier
1073477840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 11043375
- Practice address
- 13212 SW 54TH CT
Miramar, FL 33027-5434 - Phone
- (305) 490-9001
- NPI assigned
- Dec 15, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 11043375 | FL | Primary |
Addresses
Primary practice location
13212 SW 54TH CT
Miramar, FL 33027-5434
Mailing address
13212 SW 54TH CT
Miramar, FL 33027-5434
Phone (305) 490-9001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11043375 | FL | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1073477840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13212 SW 54TH CT",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330275434",
"telephone_number": "305-490-9001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13212 SW 54TH CT",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330275434",
"telephone_number": "305-490-9001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAN JORGE",
"first_name": "STEPHANIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-15",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "11043375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.