Organization Active NPI

Santana Diagnostic Services Corp

  • Sonography Specialist/Technologist Cardiovascular
  • Miami, FL
National Provider Identifier
1144219874
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X
Legal business name
SANTANA DIAGNOSTIC SERVICES CORP
Practice address
12855 SW 136TH Ave
Suite 212
Miami, FL 33186-5885
Phone
(305) 251-4449
NPI assigned
Oct 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Manuel R Del Valle
Title
President
Phone
(305) 251-4449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Specialist/Technologist CardiovascularGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 246XS1301X Primary

Addresses

Primary practice location

12855 SW 136TH Ave
Suite 212
Miami, FL 33186-5885

Mailing address

12855 SW 136TH Ave
Suite 212
Miami, FL 33186-5885
Phone (305) 251-4449

Other identifiers 2

IdentifierTypeStateIssuer
U1632MedicaidFL
HCC4137OtherFLACHA LICENSE

National Provider Directory

National Provider Directory

Locations

12855 SW 136th Ave
Ste 212
Miami, FL 33186
Phone (305) 251-4449

NPI Registry JSON

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

{
    "created_epoch": "1129334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144219874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12855 SW 136TH AVE",
            "address_2": "SUITE 212",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865885",
            "telephone_number": "305-251-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12855 SW 136TH AVE",
            "address_2": "SUITE 212",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865885",
            "telephone_number": "305-251-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTANA DIAGNOSTIC SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEL VALLE",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-251-4449",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "U1632",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACHA LICENSE",
            "identifier": "HCC4137",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.