Individual provider Active NPI

Juan Carlos Santana, ARNP

  • Adult Health Nurse Practitioner
  • Coral Gables, FL
National Provider Identifier
1083881353
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP9214359 Issued in FL
Practice address
1430 S Dixie Hwy Ste 304
Coral Gables, FL 33146-3159
Phone
(888) 696-4322
Fax
(786) 272-5719
NPI assigned
May 14, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP9214359 FL Primary

Addresses

Primary practice location

1430 S Dixie Hwy Ste 304
Coral Gables, FL 33146-3159

Mailing address

6001 SW 70TH St Apt 445
South Miami, FL 33143-3428
Phone (305) 733-2826

Other identifiers 1

IdentifierTypeStateIssuer
001930400MedicaidFL

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
I20081006000401 FL Practitioner - Nurse Practitioner 7214005149 Practice locations: South Miami, FL

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
My Home Doctor, LLC PastSince Jul 10, 2022 Accepting new patients
Physicians for Quality Healthcare, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1083881353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 SW 70TH ST APT 445",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433428",
            "telephone_number": "305-733-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 S DIXIE HWY STE 304",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331463159",
            "telephone_number": "888-696-4322",
            "fax_number": "786-272-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANA",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-14",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9214359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001930400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.