Individual provider Active NPI

Nelson Alfonso Santana, ARNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1346754561
Registry record updated Nov 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9326972 Issued in FL
Practice address
7400 SW 87TH Ave Ste 240
Miami, FL 33173-5458
Phone
(305) 409-6092
Fax
(305) 409-6092
NPI assigned
Nov 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9326972 FL Primary

Addresses

Primary practice location

7400 SW 87TH Ave Ste 240
Miami, FL 33173-5458

Mailing address

15432 SW 96TH Ter
Miami, FL 33196-3800
Phone (305) 409-6092

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190124003231 FL Practitioner - Nurse Practitioner 0749536571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Medicine AssociatesGroup PAC ID 3779510102, 17 clinicians

Practice addresses (Care Compare)

2140 W 68 St
Suite 300
Hialeah, FL 33016-1815
Phone (305) 822-4107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9326972FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Medicine Associates CurrentSince Jan 15, 2024 Accepting new patients
Gulfstream Anesthesia Group LLC Past Accepting new patients

Locations

3133 Ponce de Leon Blvd
Coral Gables, FL 33134

2140 W 68th St
Ste 300
Hialeah, FL 33016
Phone (305) 822-4107

18044 NW 6th St
Ste 102
Pembroke Pines, FL 33029

Organizations & group practices 2

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": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511740800000",
    "number": "1346754561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15432 SW 96TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331963800",
            "telephone_number": "305-409-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 SW 87TH AVE STE 240",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331735458",
            "telephone_number": "305-409-6092",
            "fax_number": "305-409-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANA",
        "first_name": "NELSON",
        "middle_name": "ALFONSO",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-27",
        "last_updated": "2017-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9326972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.