Organization Active NPI

Santander Medical Care, LLC

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1235974825
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
SANTANDER MEDICAL CARE, LLC
Practice address
175 Fontainebleau Blvd Ste 2A3
Miami, FL 33172-7013
Phone
(786) 947-5250
Fax
(786) 947-5251
NPI assigned
Jun 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Authorized official

Name
Teresita Santander, APRNNPI 1790267045
Title
Owner
Phone
(786) 269-1178

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

175 Fontainebleau Blvd Ste 2A3
Miami, FL 33172-7013

Mailing address

175 Fontainebleau Blvd Ste 2A3
Miami, FL 33172-7013
Phone (786) 947-5250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250729001537 FL Part B Supplier - Clinic/Group Practice 2860909454 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2330382Santander Medical Care LLC175 Fontainebleau Blvd Ste 2G, Miami, FL 33172Certificate of waiverSep 15, 2027

National Provider Directory

National Provider Directory

Locations

175 Fontainebleau Blvd
Ste 2G
Miami, FL 33172
Phone (305) 224-2772

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1235974825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 FONTAINEBLEAU BLVD STE 2A3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331727013",
            "telephone_number": "786-947-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FONTAINEBLEAU BLVD STE 2A3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331727013",
            "telephone_number": "786-947-5250",
            "fax_number": "786-947-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTANDER MEDICAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "SANTANDER",
        "authorized_official_first_name": "TERESITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-269-1178",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "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 Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.