NPIMap

Individual provider Active NPI

Vanessa Sostre Santiago, MD

  • Gastroenterology Physician
  • Doral, FL
National Provider Identifier
1164875662
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME155495 Issued in FL
Practice address
10305 NW 41St Street
Suite 212
Doral, FL 33178
Phone
(786) 791-0316
Fax
(305) 774-5916
NPI assigned
Jul 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME155495 FL Primary

Addresses

Primary practice location

10305 NW 41St Street
Suite 212
Doral, FL 33178

Mailing address

5101 SW 8TH Street
Suite 200
Coral Gables, FL 33134-2442
Phone (305) 359-5037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220412000052 FL Practitioner - Gastroenterology 3375939721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastromed LLCGroup PAC ID 2365574621, 38 clinicians

Practice addresses (Care Compare)

10305 NW 41St St
Suite 212
Doral, FL 33178-2976
Phone (305) 359-5037

Hospital & facility affiliations

  • Jackson Health System Hospital, Miami, FL, CCN 100022

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy17
Upper gastrointestinal (GI) endoscopy for acid reflux19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME155495FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastromed, LLC Gastroenterology CurrentSince Apr 1, 2022 Accepting new patients
Coral View Surgery Center, LLC Past Accepting new patients
Homestead Endoscopy Center LLC PastSince Apr 1, 2022 Accepting new patients

Locations

5101 SW 8th St
Fl First
Coral Gables, FL 33134

5101 SW 8th St
Ste 200
Coral Gables, FL 33134
Phone (305) 262-6060

5101 SW 8th St
Coral Gables, FL 33134
Phone (305) 441-1570

10305 NW 41st St
Ste 212
Doral, FL 33178
Phone (305) 359-5037

434 Washington Ave
Homestead, FL 33030
Phone (786) 384-7101

8390 W Flagler St
Ste 221
Miami, FL 33144
Phone (305) 226-5574

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.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1164875662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 SW 8TH STREET",
            "address_2": "SUITE 200",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342442",
            "telephone_number": "305-359-5037",
            "fax_number": "786-509-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10305 NW 41ST STREET",
            "address_2": "SUITE 212",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "33178",
            "telephone_number": "786-791-0316",
            "fax_number": "305-774-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSTRE SANTIAGO",
        "first_name": "VANESSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2025-02-24",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME155495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.