Organization Active NPI

Santos Medical Center Miami Lakes Inc

  • Adult Medicine Physician
  • Miami Lakes, FL
National Provider Identifier
1356045736
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
SANTOS MEDICAL CENTER MIAMI LAKES INC
Practice address
15910 NW 57TH Ave
Miami Lakes, FL 33014-6704
Phone
(305) 553-4595
Fax
(305) 553-4596
NPI assigned
Mar 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Authorized official

Name
Mrs. Orquidea SantosNPI 1831891845
Title
Owner
Phone
(786) 344-9819

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
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

15910 NW 57TH Ave
Miami Lakes, FL 33014-6704

Mailing address

13780 SW 26TH St
Miami, FL 33175-6302
Phone (786) 344-9819

National Provider Directory

National Provider Directory

Locations

15910 NW 57th Ave
Miami Lakes, FL 33014
Phone (305) 553-4595

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 2

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": "1680048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1356045736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13780 SW 26TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756302",
            "telephone_number": "786-344-9819",
            "fax_number": "305-554-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15910 NW 57TH AVE",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146704",
            "telephone_number": "305-553-4595",
            "fax_number": "305-553-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTOS MEDICAL CENTER MIAMI LAKES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "ORQUIDEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-344-9819",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.