Individual provider Active NPI

Coralis Del Mar Pena Santana, APRN

  • Acute Care Nurse Practitioner
  • Miami, FL
National Provider Identifier
1154093854
Registry record updated Oct 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN11015615 Issued in FL
Practice address
2601 NW 16TH Street Rd Apt 828
Miami, FL 33125-1494
Phone
(787) 923-1116
NPI assigned
Sep 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN11015615 FL Primary

Addresses

Primary practice location

2601 NW 16TH Street Rd Apt 828
Miami, FL 33125-1494

Mailing address

2601 NW 16TH Street Rd Apt 828
Miami, FL 33125-1494

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
I20220421001926 FL Practitioner - Nurse Practitioner 3779970702 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Home Medical Visits, Inc.Group PAC ID 4284635590, 4 clinicians
HMV DiagnosticsGroup PAC ID 8123172020, 21 clinicians

Practice addresses (Care Compare)

5304 Mile Stretch Dr
Holiday, FL 34690-6060
Phone (877) 202-1191

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Glow Med Lounge LLC Current Accepting new patients
Home Medical Visits, Inc Acute Care CurrentSince Sep 16, 2025 Accepting new patients

Locations

5304 Mile Stretch Dr
Holiday, FL 34690
Phone (727) 940-5908

Organizations & group practices 3

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": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633219200000",
    "number": "1154093854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 NW 16TH STREET RD APT 828",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 NW 16TH STREET RD APT 828",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251494",
            "telephone_number": "787-923-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA SANTANA",
        "first_name": "CORALIS",
        "middle_name": "DEL MAR",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-10-03",
        "certification_date": "2021-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN11015615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.