Individual provider Active NPI

Santiago A Cardenas, MD

  • Family Medicine Physician
  • Hialeah, FL
National Provider Identifier
1245238203
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME81032 Issued in FL
Practice address
881 E 2ND Ave
Hialeah, FL 33010-4205
Phone
(305) 882-1100
Fax
(305) 887-3273
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME81032 FL Primary

Addresses

Primary practice location

881 E 2ND Ave
Hialeah, FL 33010-4205

Mailing address

135 E 9TH St
Hialeah, FL 33010-4254
Phone (305) 882-1100

Other identifiers 1

IdentifierTypeStateIssuer
257389000MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051012000216 FL Practitioner - General Practice 6305861014 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Medical Research LLCGroup PAC ID 1153791405, 3 clinicians

Practice addresses (Care Compare)

4101 Ravenswood Rd
Suite 202
Fort Lauderdale, FL 33312-5301
Phone (954) 251-3454

881 E 2ND Ave
Hialeah, FL 33010-4205
Phone (305) 882-1100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME81032FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vida Health Care Family Medicine CurrentSince Aug 10, 2021 Accepting new patients
Santiago a Cardenas MD PA General Practice Current Accepting new patients
Gilberto Jimenez MD Inc Past Accepting new patients
Palmetto Physical Therapy Past Accepting new patients

Locations

881 E 2nd Ave
Hialeah, FL 33010
Phone (305) 882-1100

167 W 23rd St
Hialeah, FL 33010
Phone (305) 889-3111

383 W 34th St
Hialeah, FL 33012
Phone (305) 608-1082

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24342/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1245238203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 E 9TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104254",
            "telephone_number": "305-882-1100",
            "fax_number": "305-887-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 E 2ND AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104205",
            "telephone_number": "305-882-1100",
            "fax_number": "305-887-3273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDENAS",
        "first_name": "SANTIAGO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME81032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257389000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.