Active NPI
Sergio Enrique Santana, COTA/L
- Occupational Therapy Assistant
- Miami, FL
National Provider Identifier
1336481365
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jun 20, 2018.
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA10856
- Practice address
- 5900 SW 150TH Ave
Miami, FL 33193-2753 - Phone
- (786) 368-7353
- NPI assigned
- Mar 16, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA10856 | FL | Primary |
Addresses
Primary practice location
5900 SW 150TH Ave
Miami, FL 33193-2753
Mailing address
5900 SW 150TH Ave
Miami, FL 33193-2753
Phone (786) 368-7353
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA10856 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363392000000",
"number": "1336481365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 SW 150TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331932753",
"telephone_number": "786-368-7353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 SW 150TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331932753",
"telephone_number": "786-368-7353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTANA",
"first_name": "SERGIO",
"middle_name": "ENRIQUE",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-16",
"last_updated": "2013-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "OTA10856",
"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 Mar 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.