Individual provider Active NPI

Maria De Los Santos, ARNP

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1154398873
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1897882 Issued in FL
Practice address
3006 Aviation Ave
Miami, FL 33133-3863
Phone
(305) 354-1004
NPI assigned
Mar 1, 2006
Last updated
Jan 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1897882 FL Primary

Addresses

Primary practice location

3006 Aviation Ave
Miami, FL 33133-3863

Mailing address

13737 SW 36TH St
Miami, FL 33175-7208
Phone (305) 608-1670

Other practice location 1

3641 S Miami Ave
Suite 170
Miami, FL 33133-4205
Phone (305) 854-8089

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1897882FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Inc Past Accepting new patients
Lawnwood Cardiovascular Surgery LLC Past Accepting new patients
Thoracic & Cardiovascular Surgeons LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: maria.de.los.santos.1@27920.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1154398873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13737 SW 36TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331757208",
            "telephone_number": "305-608-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 AVIATION AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331333863",
            "telephone_number": "305-354-1004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3641 S Miami Ave",
            "address_2": "Suite 170",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331334205",
            "country_code": "US",
            "telephone_number": "305-854-8089",
            "fax_number": "305-859-9821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LOS SANTOS",
        "first_name": "MARIA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "1897882",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 8, 2018; 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.