Individual provider Active NPI

Elena Martha San Emeterio, ARNP

  • Adult Health Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1295793461
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP487942 Issued in FL
Practice address
3805 W 20TH Ave
Suite 105
Hialeah, FL 33012-4532
Phone
(305) 557-2277
Fax
(305) 557-2278
NPI assigned
May 3, 2006
Last updated
Feb 26, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP487942 FL Primary

Addresses

Primary practice location

3805 W 20TH Ave
Suite 105
Hialeah, FL 33012-4532

Mailing address

3805 W 20TH Ave
Suite 105
Hialeah, FL 33012-4532
Phone (305) 557-2277

Other identifiers 1

IdentifierTypeStateIssuer
009883800MedicaidFL

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
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bethesda Health Physician Group, Inc. CurrentSince Feb 1, 2021 Accepting new patients
Cima Med Center Miami Springs, LLC PastSince Oct 25, 2020 Accepting new patients
J&F Community Medical Center Inc Past Accepting new patients
Ronald Gelles MD PA PastSince Dec 15, 2012 Accepting new patients
Integrated-1 Corp Past Accepting new patients

Locations

11327 Okeechobee Blvd
Ste 23
Royal Palm Beach, FL 33411
Phone (561) 340-1615

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, 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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1295793461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 W 20TH AVE",
            "address_2": "SUITE 105",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124532",
            "telephone_number": "305-557-2277",
            "fax_number": "305-557-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 W 20TH AVE",
            "address_2": "SUITE 105",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124532",
            "telephone_number": "305-557-2277",
            "fax_number": "305-557-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAN EMETERIO",
        "first_name": "ELENA",
        "middle_name": "MARTHA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP487942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009883800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.